Individual
MR. SHAWN KEN BLOYER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S., ATC
Contact information
Practice address
161 1ST ST SW, SPRING GROVE, MN 55974-1270
(507) 498-3513
Mailing address
161 1ST ST. SW, P.O. BOX 415, SPRING GROVE, MN 55974
(507) 498-3513
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1873
MN
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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