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1114409273
DOMINIK ALAN SHANNON
ATLANTA, GA
NPI
1114409273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT013656)
Enumeration Date
2018-09-05
Last Update Date
2018-09-05
Business Address
DOMINIK ALAN SHANNON PT, DPT
842 N HIGHLAND AVE NE STE TER
ATLANTA, GA 30306-4530
Phone number: 678-685-9356
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Mailing Address
DOMINIK ALAN SHANNON PT, DPT
6397 LEE HWY STE 300
CHATTANOOGA, TN 37421-2564
Phone number: 423-238-7217
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