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1255082863
SHANNON MARIE BURKLAND
FOUKE, AR
NPI
1255082863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2022-01-14
Last Update Date
2022-01-14
Business Address
SHANNON MARIE BURKLAND
370 E REDCUT
FOUKE, AR 71837-8017
Phone number: 870-653-4165
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Mailing Address
SHANNON MARIE BURKLAND
13 ELMWOOD LN
TEXARKANA, TX 75501-8956
Phone number: 903-278-5757
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