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1609068774
SHANNA ELIZABETH BREWER
INDIANAPOLIS, IN
NPI
1609068774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001913A)
Enumeration Date
2007-08-13
Last Update Date
2012-10-10
Business Address
Mrs. SHANNA ELIZABETH BREWER ATC
4330 MICHIGAN RD
INDIANAPOLIS, IN 46208-3324
Phone number: 317-292-3155
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Mailing Address
Mrs. SHANNA ELIZABETH BREWER ATC
4415 BEVINGTON LN APT B
INDIANAPOLIS, IN 46240-4400
Phone number: 317-292-3155
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