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1407582190
SHANNON MCMILLEN
TAHLEQUAH, OK
NPI
1407582190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2022-07-26
Last Update Date
2022-07-26
Business Address
SHANNON MCMILLEN
1400 E DOWNING ST
TAHLEQUAH, OK 74464-3324
Phone number: 918-506-6870
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Mailing Address
SHANNON MCMILLEN
1400 E DOWNING ST
TAHLEQUAH, OK 74464-3324
Phone number: 918-506-6870
Copy
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