SHANNON LYNN MOOSE

ST CHARLES, IL
NPI1114748928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096004184)
Enumeration Date2024-10-23
Last Update Date2024-10-23
Business Address
SHANNON LYNN MOOSE ATC, ROT, LAT
255 RED GATE RD
ST CHARLES, IL 60175-6396
Phone number: 224-805-1199
Mailing Address
SHANNON LYNN MOOSE ATC, ROT, LAT
708 CHIPPEWA DR
NAPERVILLE, IL 60563-1387
Phone number: 224-805-1199
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