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1386275113
SHANNON WISEMAN
WILLIAMSVILLE, NY
NPI
1386275113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 024018)
Enumeration Date
2020-01-30
Last Update Date
2020-01-30
Business Address
SHANNON WISEMAN
2699 WEHRLE DR
WILLIAMSVILLE, NY 14221-7332
Phone number: 716-632-3700
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Mailing Address
SHANNON WISEMAN
2699 WEHRLE DR
WILLIAMSVILLE, NY 14221-7332
Phone number: 716-632-3700
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