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1992833222
MATHEW JOHN SHANER
KNOXVILLE, TN
NPI
1992833222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 1095)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
-- MATHEW JOHN SHANER ATC
500 ENGLISH VILLAGE WAY APT 331
KNOXVILLE, TN 37919-8767
Phone number: 865-235-6602
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Mailing Address
-- MATHEW JOHN SHANER ATC
500 ENGLISH VILLAGE WAY APT 331
KNOXVILLE, TN 37919
Phone number: 865-235-6602
Copy
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