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1558488916
JEANETTE SHANNON-ALIX
BRIDGEPORT, WV
NPI
1558488916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 1215)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- JEANETTE SHANNON-ALIX
41 CRESTVIEW TER
BRIDGEPORT, WV 26330-1010
Phone number: 304-842-3610
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Mailing Address
-- JEANETTE SHANNON-ALIX
81 SAMANTHA DRIVE
FAIRMONT, WV 26554
Phone number:
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