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1811398332
SHANNON RICHARDSON
GLENDALE, AZ
NPI
1811398332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 11063)
Enumeration Date
2014-09-16
Last Update Date
2014-09-16
Business Address
-- SHANNON RICHARDSON DPT
4344 W BELL RD
GLENDALE, AZ 85308-3589
Phone number: 602-548-9882
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Mailing Address
-- SHANNON RICHARDSON DPT
4344 W BELL RD
GLENDALE, AZ 85308-3589
Phone number: 602-548-9882
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