LAURA CELESTE SHELTON

MACON, GA
NPI1487933214
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT001823)
Enumeration Date2011-08-10
Last Update Date2011-08-10
Business Address
-- LAURA CELESTE SHELTON MA, ATC
5243 RIVERSIDE DR APT 1113
MACON, GA 31210-0881
Phone number: 229-563-2420
Mailing Address
-- LAURA CELESTE SHELTON MA, ATC
5243 RIVERSIDE DR. APT 1113
MACON, GA 31210
Phone number: 229-563-2420
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