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1831147644
SCOTT JAMES SHAW
NORTHRIDGE, CA
NPI
1831147644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-05-04
Last Update Date
2007-07-08
Business Address
Mr. SCOTT JAMES SHAW ATC
18111 NORDHOFF ST.
NORTHRIDGE, CA 91330-8276
Phone number: 818-677-3237
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Mailing Address
Mr. SCOTT JAMES SHAW ATC
17340 BURBANK BLVD #205
ENCINO, CA 91316-1754
Phone number: 818-981-3720
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