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1497382576
SHANE MICHAEL BESEDICK
LOS ANGELES, CA
NPI
1497382576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 2000001640)
Enumeration Date
2020-03-26
Last Update Date
2021-05-28
Business Address
SHANE MICHAEL BESEDICK ATC
325 WESTWOOD PLZ
LOS ANGELES, CA 90095-8356
Phone number: 310-825-3335
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Mailing Address
SHANE MICHAEL BESEDICK ATC
325 WESTWOOD PLZ
LOS ANGELES, CA 90095-8356
Phone number: 310-825-3335
Copy
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