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1083962468
SHANNON SWIATKIEWICZ GROSS
CHARLOTTE, NC
NPI
1083962468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 1003)
Enumeration Date
2012-08-16
Last Update Date
2012-08-16
Business Address
-- SHANNON SWIATKIEWICZ GROSS
9848 N TRYON ST
CHARLOTTE, NC 28262-5512
Phone number: 336-323-2100
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Mailing Address
-- SHANNON SWIATKIEWICZ GROSS
9848 N TRYON ST
CHARLOTTE, NC 28262-5512
Phone number:
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