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1063524759
SHELIA D CROCKETT
BRISTOL, TN
NPI
1063524759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 0000000651)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Mrs. SHELIA D CROCKETT ATC/L
1350 KING COLLEGE RD
BRISTOL, TN 37620-2632
Phone number: 423-652-4762
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Mailing Address
Mrs. SHELIA D CROCKETT ATC/L
1777 WENDOVER RD
BRISTOL, VA 24201-2842
Phone number: 276-591-3799
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