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1255302204
SHANNA N. BEACH
PHOENIX, AZ
NPI
1255302204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 4253)
Enumeration Date
2006-01-29
Last Update Date
2007-07-08
Business Address
-- SHANNA N. BEACH PT
1802 W PARKSIDE LN
PHOENIX, AZ 85027-1322
Phone number: 602-943-5472
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Mailing Address
-- SHANNA N. BEACH PT
2956 S VALLE VERDE
MESA, AZ 85212-1829
Phone number:
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