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1235776717
KOREY SHANIA BUNAL
GREENSBORO, NC
NPI
1235776717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-4351)
Enumeration Date
2019-12-04
Last Update Date
2019-12-04
Business Address
KOREY SHANIA BUNAL LAT, ATC
815 W MARKET ST
GREENSBORO, NC 27401-1875
Phone number: 336-272-7102
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Mailing Address
KOREY SHANIA BUNAL LAT, ATC
7493 OLD FLOYD RD
ROME, NY 13440-0422
Phone number: 315-725-8279
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