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Individual

MR. SHANNON J JONES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
2345 MAIN ST, GLASTONBURY, CT 06033-2211
(860) 633-5572
Mailing address
10207 THORNRIDGE DR, GRAND BLANC, MI 48439-8946
(815) 440-2955
(810) 236-9602

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/16/2006
Last updated
07/08/2007
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