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Individual

SHELBY MARIE GONSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5347 CHISHOLM CT APT A, TERRE HAUTE, IN 47803-4225
(517) 231-2552
Mailing address
210 CITYGREEN WAY APT 102, CHATTANOOGA, TN 37405-1477
(517) 231-2552

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/29/2020
Last updated
09/04/2023
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