SHANNON R LANE

HOLMDEL, NJ
NPI1578739488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ  25mt00137600)
Enumeration Date2008-05-01
Last Update Date2008-05-01
Business Address
-- SHANNON R LANE ATC
36 CRAWFORDS CORNER RD HOLMDEL HIGH SCHOOL
HOLMDEL, NJ 07733-1908
Phone number: 732-946-1876
Mailing Address
-- SHANNON R LANE ATC
36 CRAWFORDS CORNER RD HOLMDEL HIGH SCHOOL
HOLMDEL, NJ 07733-1908
Phone number: 732-946-1876
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