Individual
SHAWN HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T
Contact information
Practice address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(302) 831-2196
Mailing address
738 MAPLE RD, WOODBURY, NJ 08096-6204
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000450
NJ
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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