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Individual

SEAN RUSSELL WASSHAUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LAT, ATC, CSCS

Contact information

Practice address
445 W SWIFT CREEK LN, AFTON, WY 83110-8004
(307) 248-0233
Mailing address
446 ROUNDS AVE, NEW RICHMOND, WI 54017-2041
(715) 716-6914

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
65
WY

Other

Enumeration date
03/03/2016
Last updated
03/20/2019
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