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1750699708
SHANNON DIAMOND
PLYMOUTH, WI
NPI
1750699708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 10094)
Enumeration Date
2010-09-23
Last Update Date
2020-11-18
Business Address
SHANNON DIAMOND DPT
825 WALTON DRIVE
PLYMOUTH, WI 53073
Phone number: 920-892-4322
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Mailing Address
SHANNON DIAMOND DPT
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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