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Individual

SEAN THUESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
172 MARCUS WAY APT 4, ABINGDON, VA 24210-4176

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126003711
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/30/2015
Last updated
03/22/2024
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