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1073198099
SHANNON F BURTON
VALDOSTA, GA
NPI
1073198099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001653)
Enumeration Date
2021-03-11
Last Update Date
2021-03-11
Business Address
SHANNON F BURTON LAT, ATC
4340 KINGS WAY
VALDOSTA, GA 31602-6921
Phone number: 229-333-9736
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Mailing Address
SHANNON F BURTON LAT, ATC
4340 KINGS WAY
VALDOSTA, GA 31602-6921
Phone number: 229-333-9736
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