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1952687428
SHANNON A. KOCH
PRINCETON, NJ
NPI
1952687428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: 25mt00087100)
Enumeration Date
2011-10-28
Last Update Date
2011-10-28
Business Address
Ms. SHANNON A. KOCH MS, ATC
151 MOORE ST
PRINCETON, NJ 08540-3312
Phone number: 609-806-4289
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Mailing Address
Ms. SHANNON A. KOCH MS, ATC
151 MOORE ST
PRINCETON, NJ 08540-3312
Phone number: 609-806-4289
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