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1003429929
SHANNON BUCKLEY
SAN DIEGO, CA
NPI
1003429929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-08-29
Last Update Date
2022-06-01
Business Address
SHANNON BUCKLEY
5655 DOROTHY WAY
SAN DIEGO, CA 92115-2308
Phone number: 415-885-9444
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Mailing Address
SHANNON BUCKLEY
200 SANTA PAULA AVE
SAN FRANCISCO, CA 94127-1526
Phone number: 415-885-9444
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