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1386211605
EDWARD SHALOM
HYATTSVILLE, MD
NPI
1386211605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MD T212693)
Enumeration Date
2021-06-06
Last Update Date
2021-06-06
Business Address
Mr. EDWARD SHALOM CPT, FNS
4111 JEFFERSON ST
HYATTSVILLE, MD 20781-1705
Phone number: 240-383-0139
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Mailing Address
Mr. EDWARD SHALOM CPT, FNS
2316 RHODE ISLAND AVE NE
WASHINGTON, DC 20018-2829
Phone number: 240-383-0139
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