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1104420132
SHANNON MARIE LANGE
COMMACK, NY
NPI
1104420132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
Dr. SHANNON MARIE LANGE DPT
150 VETERANS MEMORIAL HWY UNIT 141
COMMACK, NY 11725
Phone number: 646-733-4737
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Mailing Address
Dr. SHANNON MARIE LANGE DPT
461 CHELSEA AVE
WEST BABYLON, NY 11704-4025
Phone number: 631-671-6192
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