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1144873670
SHANNON BROOKE ICENHOUR
DURHAM, NC
NPI
1144873670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P18799)
Enumeration Date
2019-07-23
Last Update Date
2019-07-23
Business Address
Dr. SHANNON BROOKE ICENHOUR PT
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-660-2220
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Mailing Address
Dr. SHANNON BROOKE ICENHOUR PT
2400 WORTHING CT
WAKE FOREST, NC 27587-4825
Phone number: 919-961-9675
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