SHANNON JACKSON

SOUTH BEND, IN
NPI1144427329
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy247200000X 
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
-- SHANNON JACKSON Rehab Tech
1950 RIDGEDALE RD
SOUTH BEND, IN 46614-2243
Phone number: 574-291-6722
Mailing Address
-- SHANNON JACKSON Rehab Tech
507 E BROADWAY ST
SOUTH BEND, IN 46601-3503
Phone number:
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