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1407051162
SHANNON DENISE STEPHENS
LOUISBURG, NC
NPI
1407051162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC 3309)
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
-- SHANNON DENISE STEPHENS pta
202 SMOKETREE WAY
LOUISBURG, NC 27549-2165
Phone number: 919-495-6500
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Mailing Address
-- SHANNON DENISE STEPHENS pta
302 LAYTON STORE RD
CASTALIA, NC 27816-9211
Phone number: 919-853-2976
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