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1093363442
SHANNON WAID
BRADENTON, FL
NPI
1093363442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: FL MA86132)
Enumeration Date
2019-08-29
Last Update Date
2019-08-29
Business Address
SHANNON WAID LMT, CST
9020 58TH DR E STE 101
BRADENTON, FL 34202-6107
Phone number: 941-755-0406
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Mailing Address
SHANNON WAID LMT, CST
135 166TH ST NE
BRADENTON, FL 34212-5605
Phone number: 720-325-8473
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