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1447608658
SHANNON PRUITT
KANSAS CITY, MO
NPI
1447608658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2005036205)
Enumeration Date
2016-05-27
Last Update Date
2016-05-27
Business Address
-- SHANNON PRUITT PT
851 NW 45TH ST #209
KANSAS CITY, MO 64116-4628
Phone number: 816-452-1633
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Mailing Address
-- SHANNON PRUITT PT
851 NW 45TH ST #209
KANSAS CITY, MO 64116-4628
Phone number: 816-452-1633
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