Individual
MR. BENJAMIN SHABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 SNELLING AVE, DULUTH, MN 55812-1161
(701) 330-1264
Mailing address
215 SNELLING AVE, DULUTH, MN 55812-1161
(701) 330-1264
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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