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1386103125
DORIAN KIM SHANN
NEWBURGH, NY
NPI
1386103125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 044210)
Enumeration Date
2019-03-19
Last Update Date
2023-11-27
Business Address
DORIAN KIM SHANN DPT, CSCS
53 NY-17K SUITE 2
NEWBURGH, NY 12550
Phone number: 845-561-2024
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Mailing Address
DORIAN KIM SHANN DPT, CSCS
62 BEACON ST
BEACON, NY 12508-2737
Phone number: 845-554-6506
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