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1407914278
SHANNON RENE PAINE
WEST MONROE, LA
NPI
1407914278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA 200124)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
SHANNON RENE PAINE LOTR
107 SUMMER LANE
WEST MONROE, LA 71921
Phone number: 318-396-1969
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Mailing Address
SHANNON RENE PAINE LOTR
PO BOX 1377
WEST MONROE, LA 71294
Phone number: 318-396-1969
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