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1336528736
SHANNON KANE
SAINT LOUIS, MO
NPI
1336528736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-05-19
Last Update Date
2015-05-19
Business Address
-- SHANNON KANE MAT
374 S GRAND BLVD BOX 58
SAINT LOUIS, MO 63103-2415
Phone number: 850-454-6487
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Mailing Address
-- SHANNON KANE MAT
374 S GRAND BLVD BOX 58
SAINT LOUIS, MO 63103-2415
Phone number: 850-454-6487
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