DEVON MICHELLE SHAUT

OWENSBORO, KY
NPI1427663251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2083S0010X Preventive Medicine, Sports Medicine
(Licence: KY  2000039774)
Enumeration Date2020-09-09
Last Update Date2020-09-09
Business Address
DEVON MICHELLE SHAUT
3000 FREDERICA ST
OWENSBORO, KY 42301-4230
Phone number: 651-270-3801
Mailing Address
DEVON MICHELLE SHAUT
3000 FREDERICA ST ATHLETIC TRAINING ROOM
OWENSBORO, KY 42301
Phone number: 651-270-3801
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