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1629301486
MICHAEL SHANNON
VAN NUYS, CA
NPI
1629301486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2009-09-11
Last Update Date
2009-09-11
Business Address
-- MICHAEL SHANNON
13457 VANOWEN ST
VAN NUYS, CA 91405-4385
Phone number: 818-787-2734
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Mailing Address
-- MICHAEL SHANNON
13457 VANOWEN ST
VAN NUYS, CA 91405-4385
Phone number: 818-787-2734
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