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Individual

SHAUNA M BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AT, LMT, CSCS

Contact information

Practice address
4221 E CHANDLER BLVD STE 116, PHOENIX, AZ 85048-8878
(541) 771-8040
Mailing address
4221 E CHANDLER BLVD STE 116, PHOENIX, AZ 85048-8878
(541) 771-8040

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1373
AZ
225700000X
Massage Therapist
17519
AZ

Other

Enumeration date
09/21/2017
Last updated
09/21/2017
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