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1013136027
SHANNON MARIE DESILETS
LONDONDERRY, NH
NPI
1013136027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NH 2387)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
-- SHANNON MARIE DESILETS P.T.
184 MAMMOTH RD
LONDONDERRY, NH 03053-3254
Phone number: 603-434-8300
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Mailing Address
-- SHANNON MARIE DESILETS P.T.
206 MEADOW LARK DR
PEMBROKE, NH 03275-2918
Phone number: 603-210-1779
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