SHANNON F BURBANK

NAMPA, ID
NPI1093280307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  5839)
Enumeration Date2018-10-12
Last Update Date2018-10-12
Business Address
SHANNON F BURBANK
1127 CALDWELL BLVD
NAMPA, ID 83651-1701
Phone number: 209-465-4935
Mailing Address
SHANNON F BURBANK
2697 W LOS FLORES CT
MERIDIAN, ID 83646-5468
Phone number: 120-888-4382
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