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Individual

MR. SHANE GARRET FITZPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, NASM-CPT

Contact information

Practice address
500 W UNIVERSITY AVE, LARRY K DURHAM SPORTS MEDICINE COMPLEX, EL PASO, TX 79968-8900
(915) 747-5225
(915) 747-6801
Mailing address
500 W UNIVERSITY AVE, LARRY K DURHAM SPORTS MEDICINE COMPLEX, EL PASO, TX 79968-8900
(915) 747-5225
(915) 747-6801

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
MD

Other

Enumeration date
08/12/2012
Last updated
10/14/2016
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