SHANNON D CAMPBELL

LEWISTON, ID
NPI1801855440
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
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