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1851401582
SHANNON BOGLE
TAMPA, FL
NPI
1851401582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: FL PT12643)
Enumeration Date
2006-08-30
Last Update Date
2010-12-13
Business Address
-- SHANNON BOGLE PT
2106 S LOIS AVE
TAMPA, FL 33629-5659
Phone number: 813-287-9370
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Mailing Address
-- SHANNON BOGLE PT
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
Phone number:
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