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1649909896
ANGELA MARIE SHANNAHAN
GRAND RAPIDS, MI
NPI
1649909896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201012919)
Enumeration Date
2022-06-05
Last Update Date
2022-06-05
Business Address
ANGELA MARIE SHANNAHAN OTR/L
2251 E PARIS AVE SE
GRAND RAPIDS, MI 49546-2431
Phone number: 616-447-7799
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Mailing Address
ANGELA MARIE SHANNAHAN OTR/L
3310 S CREEK DR SE APT 304
KENTWOOD, MI 49512-3042
Phone number: 734-634-9813
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