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1043413115
SHANNON LEIGH WILSON
FREDERICKSBURG, VA
NPI
1043413115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306001800)
Enumeration Date
2007-06-07
Last Update Date
2007-07-08
Business Address
Mrs. SHANNON LEIGH WILSON
5210 SARAH LANE
FREDERICKSBURG, VA 22407
Phone number: 540-891-7434
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Mailing Address
Mrs. SHANNON LEIGH WILSON
5210 SARAH LANE
FREDERICKSBURG, VA 22407
Phone number: 540-891-7434
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