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1750848214
SHAUN C SCISSOM
NORFOLK, VA
NPI
1750848214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305212609)
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
SHAUN C SCISSOM
301 RIVERVIEW AVE STE 202
NORFOLK, VA 23510-1065
Phone number: 757-252-9420
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Mailing Address
SHAUN C SCISSOM
536 24 1/2 ST
VIRGINIA BEACH, VA 23451-4049
Phone number: 757-373-4127
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