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Individual

MR. SHAWN E CUSSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LATC, CSCS

Contact information

Practice address
285 BABCOCK ST, BOSTON UNIVERSITY SPORTS MEDICINE, BOSTON, MA 02215-1003
(508) 740-0609
Mailing address
700 COMMONWEALTH AVE, #1001, BOSTON, MA 02215-2496

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1338
MA

Other

Enumeration date
06/15/2006
Last updated
07/08/2007
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