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1457371452
SHANELLE LEE HARRIS
MENTOR, OH
NPI
1457371452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT 002950)
Enumeration Date
2006-07-20
Last Update Date
2008-02-01
Business Address
-- SHANELLE LEE HARRIS ATC
9031 MENTOR AVE
MENTOR, OH 44060-6463
Phone number: 440-255-1315
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Mailing Address
-- SHANELLE LEE HARRIS ATC
6374 BROOKS BLVD
MENTOR, OH 44060-3622
Phone number: 702-286-6636
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