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1780643445
SHAINA MARIE LANE
ALLENDALE, MI
NPI
1780643445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2006-03-21
Last Update Date
2007-07-08
Business Address
SHAINA MARIE LANE M.ED., ATC
GRAND VALLEY STATE UNIVERSITY 1 CAMPUS DR., 83 FH
ALLENDALE, MI 49401
Phone number: 616-331-3140
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Mailing Address
SHAINA MARIE LANE M.ED., ATC
3707 CRYSTAL ST SW
GRANDVILLE, MI 49418-1368
Phone number: 616-498-4709
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