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1215423413
SHANNON LYNN FAVALO
FAIRPORT, NY
NPI
1215423413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 019817-1)
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
SHANNON LYNN FAVALO PT
41 OCONNOR RD
FAIRPORT, NY 14450-1327
Phone number: 585-377-4660
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Mailing Address
SHANNON LYNN FAVALO PT
41 OCONNOR RD
FAIRPORT, NY 14450-1327
Phone number:
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