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1114686870
SHANNON BODELL
CARMEL, IN
NPI
1114686870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32002322A)
Enumeration Date
2021-12-09
Last Update Date
2021-12-09
Business Address
SHANNON BODELL
118 MEDICAL DR
CARMEL, IN 46032-3323
Phone number: 419-230-5970
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Mailing Address
SHANNON BODELL
1713 SHORTER DR
INDIANAPOLIS, IN 46214-2210
Phone number: 419-230-5970
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