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1013393917
SHANNON RANDALL
GAINESVILLE, GA
NPI
1013393917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT006090)
Enumeration Date
2015-08-03
Last Update Date
2018-03-17
Business Address
SHANNON RANDALL OTR/L
2030 WINDWARD LN
GAINESVILLE, GA 30501-7418
Phone number: 770-535-8181
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Mailing Address
SHANNON RANDALL OTR/L
125 TOWNPARK DR NW STE 300
KENNESAW, GA 30144-5812
Phone number: 855-423-6287
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