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1104124726
MICHELLE SHANNON
OMAHA, NE
NPI
1104124726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NE 195)
Enumeration Date
2011-03-06
Last Update Date
2011-03-06
Business Address
MRS. MICHELLE SHANNON OTR/L
9220 WESTERN AVE
OMAHA, NE 68114-2297
Phone number: 402-393-7313
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Mailing Address
MRS. MICHELLE SHANNON OTR/L
1709 KAMEO DR
OMAHA, NE 68122-5052
Phone number: 402-290-4612
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