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Individual

SHELBY LEA HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8313 N GARRIOTT RD, SCOTTSBURG, IN 47170-5211
(812) 595-8498
Mailing address
8313 N GARRIOTT RD, SCOTTSBURG, IN 47170-5211

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/21/2016
Last updated
01/21/2016
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