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1376378356
SHANNON K SMITH
RIVERHEAD, NY
NPI
1376378356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: NY 012899)
Enumeration Date
2024-09-07
Last Update Date
2024-09-07
Business Address
SHANNON K SMITH LMT
12 1ST ST
RIVERHEAD, NY 11901-4602
Phone number: 631-769-4969
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Mailing Address
SHANNON K SMITH LMT
12 1ST ST
RIVERHEAD, NY 11901-4602
Phone number:
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