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1235597154
SHELLI HERSETH
GILBERT, AZ
NPI
1235597154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM 604)
Enumeration Date
2016-02-05
Last Update Date
2016-02-05
Business Address
-- SHELLI HERSETH ATC/L
179 N STARBOARD DR
GILBERT, AZ 85234-6091
Phone number: 602-550-1718
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Mailing Address
-- SHELLI HERSETH ATC/L
179 N STARBOARD DR
GILBERT, AZ 85234-6091
Phone number:
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