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1780991646
SHANNON JOANNE KELLY
PORTLAND, OR
NPI
1780991646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 2972)
Enumeration Date
2010-09-13
Last Update Date
2010-09-13
Business Address
Mrs. SHANNON JOANNE KELLY PT
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3009
Phone number: 503-221-3429
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Mailing Address
Mrs. SHANNON JOANNE KELLY PT
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3009
Phone number: 503-221-3429
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