SHANNON MARIE IVANCIC

PAINESVILLE, OH
NPI1831162510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  AT002258)
Enumeration Date2006-02-11
Last Update Date2007-07-08
Business Address
-- SHANNON MARIE IVANCIC ATC
391 W WASHINGTON ST
PAINESVILLE, OH 44077-3309
Phone number: 440-375-7481
Mailing Address
-- SHANNON MARIE IVANCIC ATC
29902 EUCLID AVE UNIT 13B
WICKLIFFE, OH 44092-1800
Phone number: 216-534-4922
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