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1619614310
SHANE VINCENT CASWELL
MANASSAS, VA
NPI
1619614310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: VA 0126000875)
Enumeration Date
2022-05-16
Last Update Date
2022-05-25
Business Address
SHANE VINCENT CASWELL ATC
10900 UNIVERSITY BOULEVARD KATHERINE JOHNSON HALL, MSN 4E5
MANASSAS, VA 20110-2203
Phone number: 703-993-4638
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Mailing Address
SHANE VINCENT CASWELL ATC
10900 UNIVERSITY BOULEVARD KATHERINE JOHNSON HALL, MSN 4E5
MANASSAS, VA 20110-2203
Phone number: 703-993-4638
Copy
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