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1063252054
SHANNINE BANAWA CONSOLACION
SUNRISE, FL
NPI
1063252054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 12577)
Enumeration Date
2024-05-28
Last Update Date
2024-05-28
Business Address
Ms. SHANNINE BANAWA CONSOLACION
1580 SAWGRASS CORPORATE PKWY
SUNRISE, FL 33323-2869
Phone number: 943-216-2228
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Mailing Address
Ms. SHANNINE BANAWA CONSOLACION
1580 SAWGRASS CORPORATE PKWY
SUNRISE, FL 33323-2869
Phone number:
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