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1194234369
MICHELLE SHANNON
WILSONVILLE, OR
NPI
1194234369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT127515)
Enumeration Date
2017-09-20
Last Update Date
2017-09-20
Business Address
MICHELLE SHANNON
8695 SW JACK BURNS BLVD
WILSONVILLE, OR 97070-5797
Phone number: 512-250-8800
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Mailing Address
MICHELLE SHANNON
10301 RANCH ROAD, FM 2222, APT 435
AUSTIN, TX 78730
Phone number: 360-200-5314
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