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1386069805
SHANNON O'HERN
STURGEON BAY, WI
NPI
1386069805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 12604-24)
Enumeration Date
2014-02-19
Last Update Date
2014-02-19
Business Address
-- SHANNON O'HERN DPT
4001 GLIDDEN DR
STURGEON BAY, WI 54235-9183
Phone number: 920-746-8846
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Mailing Address
-- SHANNON O'HERN DPT
4001 GLIDDEN DR
STURGEON BAY, WI 54235-9183
Phone number: 920-746-8846
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