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1295850956
SHANNON LOREN HARRIS
ALEXANDRIA, VA
NPI
1295850956
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Former Name
SHANNON LOREN BROWN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306602386)
Enumeration Date
2007-03-20
Last Update Date
2012-08-28
Business Address
-- SHANNON LOREN HARRIS PTA
8111 TIS WELL DR
ALEXANDRIA, VA 22306-3211
Phone number: 703-360-4000
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Mailing Address
-- SHANNON LOREN HARRIS PTA
10202 CHASE COMMONS DR APT. 305
BURKE, VA 22015-4615
Phone number: 240-273-2570
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