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1366903288
SHANNON BOUVIER
WILLISTON, VT
NPI
1366903288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-03-26
Last Update Date
2019-03-26
Business Address
Miss SHANNON BOUVIER ATC
115 WELLNESS DR
WILLISTON, VT 05495-2088
Phone number: 802-488-3278
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Mailing Address
Miss SHANNON BOUVIER ATC
277 NORTH ST
BURLINGTON, VT 05401-3638
Phone number: 860-490-2865
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