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Individual

SHAWN WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
540 KINGSLEY AVE, ORANGE PARK, FL 32073-4847
(904) 264-2156
Mailing address
1531 NW 6TH AVE, GAINESVILLE, FL 32603-1201
(904) 742-3060

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2091
FL

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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