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1376062182
SHANELLE MIDDLETON
OAKLAND, CA
NPI
1376062182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT293389)
Enumeration Date
2017-09-12
Last Update Date
2017-09-12
Business Address
Dr. SHANELLE MIDDLETON DPT
10705 ELVESSA ST
OAKLAND, CA 94605-5507
Phone number: 510-577-9685
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Mailing Address
Dr. SHANELLE MIDDLETON DPT
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number:
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