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1164008520
SHANNON CORNELL
DETROIT, MI
NPI
1164008520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2021-03-24
Last Update Date
2021-04-02
Business Address
SHANNON CORNELL PTA
6525 2ND AVE
DETROIT, MI 48202-3006
Phone number: 313-972-4060
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Mailing Address
SHANNON CORNELL PTA
6525 2ND AVE
DETROIT, MI 48202-3006
Phone number:
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