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1760218176
SHANNON JEAN TETER
INDEPENDENCE, MO
NPI
1760218176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 14-00285)
Enumeration Date
2024-09-11
Last Update Date
2024-09-11
Business Address
SHANNON JEAN TETER
2020 QUAIL DR
INDEPENDENCE, MO 64057-3429
Phone number: 816-521-5480
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Mailing Address
SHANNON JEAN TETER
201 N FOREST AVE
INDEPENDENCE, MO 64050-2696
Phone number: 816-521-5300
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