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1164810339
DEVIN MICHAEL SHANNON
DES MOINES, IA
NPI
1164810339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.003784)
Enumeration Date
2014-12-22
Last Update Date
2014-12-22
Business Address
-- DEVIN MICHAEL SHANNON ATC
2015 NASH DR
DES MOINES, IA 50314-2050
Phone number: 515-210-0822
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Mailing Address
-- DEVIN MICHAEL SHANNON ATC
2015 NASH DR
DES MOINES, IA 50314-2050
Phone number: 515-210-0822
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