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1881007607
SHANNON LEVIN
SALEM, OR
NPI
1881007607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2014-06-09
Last Update Date
2014-08-29
Business Address
-- SHANNON LEVIN CPO
441 UNION ST NE
SALEM, OR 97301-2458
Phone number: 503-339-7096
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Mailing Address
-- SHANNON LEVIN CPO
441 UNION ST NE
SALEM, OR 97301-2458
Phone number: 503-339-7096
Copy
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