DEVIN MICHAEL SHANNON

DES MOINES, IA
NPI1164810339
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.003784)
Enumeration Date2014-12-22
Last Update Date2014-12-22
Business Address
-- DEVIN MICHAEL SHANNON ATC
2015 NASH DR
DES MOINES, IA 50314-2050
Phone number: 515-210-0822
Mailing Address
-- DEVIN MICHAEL SHANNON ATC
2015 NASH DR
DES MOINES, IA 50314-2050
Phone number: 515-210-0822
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