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1164935128
SHANNON RAY MCALLISTER
SCHERERVILLE, IN
NPI
1164935128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31005972A)
Enumeration Date
2017-11-13
Last Update Date
2017-11-13
Business Address
Mr. SHANNON RAY MCALLISTER OTR
7770 BURR ST
SCHERERVILLE, IN 46375-3400
Phone number: 219-322-8855
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Mailing Address
Mr. SHANNON RAY MCALLISTER OTR
633 FILLMORE AVE
DYER, IN 46311-1136
Phone number: 219-616-0414
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