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1891789418
NED SHANNON
INDIANAPOLIS, IN
NPI
1891789418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36000055A)
Enumeration Date
2005-09-09
Last Update Date
2007-07-08
Business Address
Mr. NED SHANNON LAT ATC
1400 E HANNA AVE
INDIANAPOLIS, IN 46227-3630
Phone number: 317-788-6112
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Mailing Address
Mr. NED SHANNON LAT ATC
1400 E HANNA AVE
INDIANAPOLIS, IN 46227-3630
Phone number: 317-788-6112
Copy
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