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1588435648
SHAWN EDWARD ROSTUCHER
PHILADELPHIA, PA
NPI
1588435648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA 32972995)
Enumeration Date
2024-01-09
Last Update Date
2024-01-09
Business Address
SHAWN EDWARD ROSTUCHER
3429 SALMON ST
PHILADELPHIA, PA 19134-6014
Phone number: 267-606-8886
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Mailing Address
SHAWN EDWARD ROSTUCHER
3429 SALMON ST
PHILADELPHIA, PA 19134-6014
Phone number: 267-606-8886
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