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1851819106
SUSANNA SHIVERS
DURHAM, NC
NPI
1851819106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-09-07
Last Update Date
2017-09-07
Business Address
SUSANNA SHIVERS
120 WHITFORD DR
DURHAM, NC 27708-9982
Phone number: 919-668-5771
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Mailing Address
SUSANNA SHIVERS
4025 FORRESTDALE DR
DURHAM, NC 27712-2981
Phone number:
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