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1740226471
SHANNON C JOHNSON
LAKE CHARLES, LA
NPI
1740226471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2006-06-21
Last Update Date
2017-06-15
Business Address
-- SHANNON C JOHNSON PT
3212 2ND AVE
LAKE CHARLES, LA 70601
Phone number: 337-478-8161
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Mailing Address
-- SHANNON C JOHNSON PT
217 SAM HOUSTON JONES PKWY SUITE 103
MOSS BLUFF, LA 70611
Phone number:
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