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1053170183
SHANNON HOUGHTLIN
FORT PIERCE, FL
NPI
1053170183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
SHANNON HOUGHTLIN DO
1700 S 23RD ST
FORT PIERCE, FL 34950-4803
Phone number: 772-468-4554
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Mailing Address
SHANNON HOUGHTLIN DO
1700 S 23RD ST
FORT PIERCE, FL 34950-4803
Phone number: 772-468-4554
Copy
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