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1922472158
MICHAEL SHAWN WHITLEY
MIDLOTHIAN, VA
NPI
1922472158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126002207)
Enumeration Date
2015-11-27
Last Update Date
2015-11-27
Business Address
Mr. MICHAEL SHAWN WHITLEY ATC
5309 COMMONWEALTH CENTRE PKWY STE 100
MIDLOTHIAN, VA 23112-2633
Phone number: 804-545-7560
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Mailing Address
Mr. MICHAEL SHAWN WHITLEY ATC
5309 COMMONWEALTH CENTRE PKWY STE 100
MIDLOTHIAN, VA 23112-2633
Phone number: 804-545-7560
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