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1568928380
SHANNON ALYSE FUGATE
KANSAS CITY, MO
NPI
1568928380
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Former Name
SHANNON A CRUMPTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XL0004X Occupational Therapist, Low Vision
Enumeration Date
2019-02-17
Last Update Date
2023-05-31
Business Address
SHANNON ALYSE FUGATE OT
7501 PROSPECT AVE
KANSAS CITY, MO 64132-2103
Phone number: 816-421-5848
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Mailing Address
SHANNON ALYSE FUGATE OT
7501 PROSPECT AVE
KANSAS CITY, MO 64132-2103
Phone number: 816-421-5848
Copy
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