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1790977148
SHAWN MICHAEL BERRY
BRIDGEPORT, NE
NPI
1790977148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 751)
Enumeration Date
2007-08-09
Last Update Date
2007-08-09
Business Address
-- SHAWN MICHAEL BERRY
505 Q ST HERITAGE OF BRIDGEPORT
BRIDGEPORT, NE 69336-0081
Phone number: 308-262-1823
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Mailing Address
-- SHAWN MICHAEL BERRY
505 Q ST HERITAGE OF BRIDGEPORT
BRIDGEPORT, NE 69336-0081
Phone number:
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