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1770329005
TALIA MICHELLE SHELTON
MOORESVILLE, NC
NPI
1770329005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-2997)
Enumeration Date
2024-07-05
Last Update Date
2024-07-05
Business Address
TALIA MICHELLE SHELTON LAT, ATC
170 JOE KNOX AVE
MOORESVILLE, NC 28117-9169
Phone number: 704-360-2779
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Mailing Address
TALIA MICHELLE SHELTON LAT, ATC
170 JOE KNOX AVE
MOORESVILLE, NC 28117-9169
Phone number: 704-360-2779
Copy
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