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1235332586
CHAD SHANNON
LEXINGTON, KY
NPI
1235332586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY T07018)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
-- CHAD SHANNON
1101 VETERANS DR
LEXINGTON, KY 40502-2235
Phone number: 859-233-4511
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Mailing Address
-- CHAD SHANNON
1112 RICHMOND GREEN DR APT 4
RICHMOND, KY 40475-6827
Phone number:
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