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Individual

SHANE REDMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT, ATC, CSCS

Contact information

Practice address
3826 S NEW HOPE RD STE 11, GASTONIA, NC 28056-4405
(704) 674-8849
Mailing address
3826 S NEW HOPE RD STE 11, GASTONIA, NC 28056-4405
(704) 674-8849

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0495
NC

Other

Enumeration date
07/31/2006
Last updated
12/28/2010
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