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1538133459
SHAWN MICHAEL TACKETT
BATESVILLE, AR
NPI
1538133459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR AT 362)
Enumeration Date
2006-02-15
Last Update Date
2011-11-29
Business Address
Mr. SHAWN MICHAEL TACKETT MS, ATC/L
2300 HIGHLAND RD
BATESVILLE, AR 72501-3629
Phone number: 870-307-7331
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Mailing Address
Mr. SHAWN MICHAEL TACKETT MS, ATC/L
10 BIG PINE RD
BATESVILLE, AR 72501-7375
Phone number: 870-834-4731
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