SHANICE JOHNSON

TERRE HAUTE, IN
NPI1174889349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001923A)
Enumeration Date2012-04-02
Last Update Date2012-04-02
Business Address
-- SHANICE JOHNSON LAT, ATC
WELLNESS AND APPLIED MEDICINE RM 201 5TH ST
TERRE HAUTE, IN 47809-0001
Phone number: 812-237-9613
Mailing Address
-- SHANICE JOHNSON LAT, ATC
3012 S 8TH ST
TERRE HAUTE, IN 47802-3934
Phone number: 330-412-0975
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