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1285934620
SHANNON MARIE MORAN
SHREVEPORT, LA
NPI
1285934620
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Former Name
SHANNON M DAVIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: LA 02610)
Enumeration Date
2010-11-02
Last Update Date
2022-03-23
Business Address
Ms. SHANNON MARIE MORAN PT
3100 SAMFORD AVE
SHREVEPORT, LA 71103-4239
Phone number: 318-222-5704
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Mailing Address
Ms. SHANNON MARIE MORAN PT
3100 SAMFORD AVE
SHREVEPORT, LA 71103-4239
Phone number: 318-222-5704
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