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1104308014
SHANNON LYNN SMITH
PLYMOUTH, MI
NPI
1104308014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MI 7501002581)
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
SHANNON LYNN SMITH
15131 NORTHVILLE RD
PLYMOUTH, MI 48170-2548
Phone number: 734-309-1103
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Mailing Address
SHANNON LYNN SMITH
15131 NORTHVILLE RD
PLYMOUTH, MI 48170-2548
Phone number: 734-309-1103
Copy
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