NICOLE MARIE SHAFFER

DIXON, IL
NPI1669992566
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.004407)
Enumeration Date2017-06-21
Last Update Date2022-07-21
Business Address
Mrs. NICOLE MARIE SHAFFER ATC
650 REYNOLDSWOOD ROAD
DIXON, IL 61021
Phone number: 815-677-1660
Mailing Address
Mrs. NICOLE MARIE SHAFFER ATC
650 REYNOLDSWOOD RD
DIXON, IL 61021-9108
Phone number: 815-677-1660
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