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Individual

SHAUN KNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1925 BRECK AVE, VIRGINIA BEACH, VA 23464-1785
(757) 232-0044
Mailing address
1925 BRECK AVE, VIRGINIA BEACH, VA 23464
(757) 232-0044

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001415
VA

Other

Enumeration date
05/20/2015
Last updated
05/20/2015
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