SHANNON D CAMPBELL

LEWISTON, ID
NPI1801855440
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID  AT-067)
Enumeration Date2006-03-22
Last Update Date2007-07-08
Business Address
MR. SHANNON D CAMPBELL ATC/L
1114 9TH AVE
LEWISTON, ID 83501-2659
Phone number: 208-748-3102
Mailing Address
MR. SHANNON D CAMPBELL ATC/L
330 N GRANT ST
MOSCOW, ID 83843-3674
Phone number: 208-882-3239
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