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1366852709
SHANE ALLEN
MARSHALL, MI
NPI
1366852709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056010550)
Enumeration Date
2014-05-07
Last Update Date
2024-08-28
Business Address
SHANE ALLEN MOT
823 W MICHIGAN AVE
MARSHALL, MI 49068-1445
Phone number: 269-248-4300
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Mailing Address
SHANE ALLEN MOT
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number:
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