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1629184213
SHANNON BLACK
ANCHORAGE, AK
NPI
1629184213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
-- SHANNON BLACK
4100 LAKE OTIS PKWY STE 106
ANCHORAGE, AK 99508-5222
Phone number: 907-550-6180
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Mailing Address
-- SHANNON BLACK
331 PETTIS RD
ANCHORAGE, AK 99515-3350
Phone number: 907-522-2435
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