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1396320859
SHANAE AUDRYONNA KUBIK
PLANO, TX
NPI
1396320859
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Former Name
SHANAE AUDRYONNA VASQUEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-03-16
Last Update Date
2021-03-16
Business Address
SHANAE AUDRYONNA KUBIK
3904 BOULTON CT
PLANO, TX 75025-2050
Phone number: 316-209-0765
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Mailing Address
SHANAE AUDRYONNA KUBIK
3904 BOULTON CT
PLANO, TX 75025-2050
Phone number: 316-209-0765
Copy
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