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Individual

MRS. SHANNON RAE EVERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1500 KOENIGSTEIN AVE, NORFOLK, NE 68701-3664
(402) 649-8149
Mailing address
1709 N EASTWOOD ST, NORFOLK, NE 68701-6996
(402) 649-8149

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
806
NE

Other

Enumeration date
08/27/2018
Last updated
10/01/2021
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