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1023788932
SHANNON MORELAND
KREMMLING, CO
NPI
1023788932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: CO PTA.0014974)
Enumeration Date
2021-09-14
Last Update Date
2021-09-14
Business Address
-- SHANNON MORELAND PTA
214 4TH ST
KREMMLING, CO 80459
Phone number: 970-724-3442
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Mailing Address
-- SHANNON MORELAND PTA
485 MEADOW WOOD CIR
DILLON, CO 80435-8485
Phone number: 316-992-2505
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