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1346073988
SHANNON BOUSHEHRI
SAN DIEGO, CA
NPI
1346073988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 306394)
Enumeration Date
2024-08-20
Last Update Date
2024-08-20
Business Address
SHANNON BOUSHEHRI PT, DPT
3323 CARMEL MOUNTAIN RD STE 200
SAN DIEGO, CA 92121-1035
Phone number: 858-720-0991
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Mailing Address
SHANNON BOUSHEHRI PT, DPT
3959 RUFFIN RD STE J
SAN DIEGO, CA 92123-1830
Phone number: 858-279-5570
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