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1508573130
SHANNON LEE HASSAN
MIDDLETOWN, NY
NPI
1508573130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 012747-01)
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
Ms. SHANNON LEE HASSAN PTA
29 CREEDEN HILL RD
MIDDLETOWN, NY 10940-6897
Phone number: 845-537-6878
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Mailing Address
Ms. SHANNON LEE HASSAN PTA
29 CREEDEN HILL RD
MIDDLETOWN, NY 10940-6897
Phone number: 845-537-6878
Copy
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