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1679690432
SHANE HARRIS
HUNTSVILLE, AL
NPI
1679690432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 222)
Enumeration Date
2007-03-24
Last Update Date
2007-07-08
Business Address
-- SHANE HARRIS ATC, MS, LAT
4715 WHITESBURG DR S
HUNTSVILLE, AL 35802-1632
Phone number: 256-881-5151
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Mailing Address
-- SHANE HARRIS ATC, MS, LAT
807 VESTAVIA PL SE
HUNTSVILLE, AL 35802-2507
Phone number:
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