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1699941062
SHANNON L. NELSON
GALLUP, NM
NPI
1699941062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 3051)
Enumeration Date
2008-05-05
Last Update Date
2012-07-27
Business Address
Miss SHANNON L. NELSON P.T.
516 E. NIZHONI BLVD.
GALLUP, NM 87301-1337
Phone number: 505-722-1000
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Mailing Address
Miss SHANNON L. NELSON P.T.
P.O. BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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