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1770344574
SHANNON B GIBBS
STARKVILLE, MS
NPI
1770344574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS 0939)
Enumeration Date
2024-01-18
Last Update Date
2024-01-18
Business Address
Mr. SHANNON B GIBBS MS, ATC, LAT
815 OLD WEST POINT RD
STARKVILLE, MS 39759-7712
Phone number: 601-678-9793
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Mailing Address
Mr. SHANNON B GIBBS MS, ATC, LAT
815 OLD WEST POINT RD
STARKVILLE, MS 39759-7712
Phone number: 601-678-9793
Copy
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