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1649055476
SHANNON RENE WALLIN
FREMONT, CA
NPI
1649055476
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Former Name
SHANNON RENE HARMS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
SHANNON RENE WALLIN ATC
41717 PALM AVE
FREMONT, CA 94539-4722
Phone number: 510-657-3600
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Mailing Address
SHANNON RENE WALLIN ATC
2000 MOWRY AVE
FREMONT, CA 94538-1746
Phone number:
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