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1407879265
JACK M. SHANO
WOODLAND HILLS, CA
NPI
1407879265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT3035)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
Mr. JACK M. SHANO RPT
23067 VENTURA BLVD STE A
WOODLAND HILLS, CA 91364-1150
Phone number: 818-223-9985
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Mailing Address
Mr. JACK M. SHANO RPT
23067 VENTURA BLVD STE A
WOODLAND HILLS, CA 91364-1150
Phone number: 818-223-9985
Copy
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