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1619340189
SHANNON MARIE ROSE
ALBUQUERQUE, NM
NPI
1619340189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 4035)
Enumeration Date
2015-11-05
Last Update Date
2015-11-05
Business Address
Mrs. SHANNON MARIE ROSE P.T., DPT
4857 SOUTHERN AVE SE
ALBUQUERQUE, NM 87108
Phone number: 505-710-1562
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Mailing Address
Mrs. SHANNON MARIE ROSE P.T., DPT
4857 SOUTHERN AVE SE
ALBUQUERQUE, NM 87108-3513
Phone number: 505-710-1562
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