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1336286426
SHANNON LEE WEST
BLOOMINGTON, IN
NPI
1336286426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: IN 31004243A)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
Mrs. SHANNON LEE WEST OTR
3245 SOUTHERN OAKS DR
BLOOMINGTON, IN 47401-8000
Phone number: 812-334-1982
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Mailing Address
Mrs. SHANNON LEE WEST OTR
3245 SOUTHERN OAKS DR
BLOOMINGTON, IN 47401-8000
Phone number: 812-334-1982
Copy
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