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Individual

MISS SHANNON BOUVIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
115 WELLNESS DR, WILLISTON, VT 05495-2088
(802) 488-3278
Mailing address
277 NORTH ST, BURLINGTON, VT 05401-3638
(860) 490-2865

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/26/2019
Last updated
03/26/2019
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