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1689718058
SHANE DOUGLAS STECYK
NORTHRIDGE, CA
NPI
1689718058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-02-17
Last Update Date
2007-07-08
Business Address
-- SHANE DOUGLAS STECYK ATC, CSCS
18111 NORDHOFF ST DEPARTMENT OF KINESIOLOGY
NORTHRIDGE, CA 91330-8287
Phone number: 818-677-4738
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Mailing Address
-- SHANE DOUGLAS STECYK ATC, CSCS
210 N BELMONT ST # 208
GLENDALE, CA 91206-4953
Phone number: 818-291-1926
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