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1003227380
SHANNON DAVID
FARGO, ND
NPI
1003227380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-05-08
Last Update Date
2014-05-08
Business Address
-- SHANNON DAVID AT
1301 CENTENNIAL BLVD BBFH # 1
FARGO, ND 58108-6050
Phone number: 701-231-5686
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Mailing Address
-- SHANNON DAVID AT
PO BOX 6050
FARGO, ND 58108-6050
Phone number:
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