MICHAEL SHAWN PORTER

LOCK HAVEN, PA
NPI1992888770
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RT-000866-A)
Enumeration Date2006-10-23
Last Update Date2007-07-08
Business Address
Mr. MICHAEL SHAWN PORTER ATC
401 SUSQUEHANNA AVE LOCK HAVEN UNIVERSITY
LOCK HAVEN, PA 17745
Phone number: 570-893-2197
Mailing Address
Mr. MICHAEL SHAWN PORTER ATC
268 DRY RUN RD
BEECH CREEK, PA 16822-8028
Phone number: 570-726-2295
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