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1386914281
SHAUN RICHARD SKAVANG
LARAMIE, WY
NPI
1386914281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WY 060)
Enumeration Date
2012-01-09
Last Update Date
2012-01-09
Business Address
-- SHAUN RICHARD SKAVANG ATC
1000 E UNIVERSITY AVE DEPT 3414
LARAMIE, WY 82071-2000
Phone number: 605-645-0417
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Mailing Address
-- SHAUN RICHARD SKAVANG ATC
1000 E UNIVERSITY AVE DEPT 3414
LARAMIE, WY 82071-2000
Phone number: 605-645-0417
Copy
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