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1417409426
TRISHA MAE SHANNON
TULSA, OK
NPI
1417409426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 885)
Enumeration Date
2016-10-26
Last Update Date
2016-10-26
Business Address
Ms. TRISHA MAE SHANNON M.Ed, LAT, ATC
7777 S LEWIS AVE
TULSA, OK 74171-0003
Phone number: 918-494-6806
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Mailing Address
Ms. TRISHA MAE SHANNON M.Ed, LAT, ATC
7777 S LEWIS AVE
TULSA, OK 74171-0003
Phone number: 918-494-6806
Copy
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