KEONNA SHADAE KING

NORMAL, AL
NPI1588371819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL  2530)
Enumeration Date2022-11-07
Last Update Date2022-11-07
Business Address
KEONNA SHADAE KING BS, LAT, ATC
4900 MERIDIAN ST NW
NORMAL, AL 35762-7500
Phone number: 256-372-8457
Mailing Address
KEONNA SHADAE KING BS, LAT, ATC
710 JULIA ST NW APT 10
HUNTSVILLE, AL 35816-3741
Phone number: 334-322-8973
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