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1619969383
SHANNON MARIE PETERSEN
DES MOINES, IA
NPI
1619969383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 02411)
Enumeration Date
2005-08-18
Last Update Date
2010-03-04
Business Address
-- SHANNON MARIE PETERSEN P.T.
3200 GRAND AVE
DES MOINES, IA 50312-4104
Phone number: 515-271-1717
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Mailing Address
-- SHANNON MARIE PETERSEN P.T.
3200 GRAND AVE
DES MOINES, IA 50312-4104
Phone number: 515-271-1717
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