SHANNON LEAH HATTERVIG

GRAND JUNCTION, CO
NPI1740551456
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO  AT-1004)
Enumeration Date2012-01-26
Last Update Date2014-05-01
Business Address
Miss SHANNON LEAH HATTERVIG ATC
1100 NORTH AVE
GRAND JUNCTION, CO 81501-3122
Phone number: 970-248-1985
Mailing Address
Miss SHANNON LEAH HATTERVIG ATC
552 GUNNISON AVE APT 3
GRAND JUNCTION, CO 81501-4801
Phone number: 605-391-6713
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