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1902170533
CONNIE RENEE SHELLEY
NILES, MI
NPI
1902170533
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Former Name
CONNIE RENEE THOMPSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501015742)
Enumeration Date
2012-02-29
Last Update Date
2012-02-29
Business Address
-- CONNIE RENEE SHELLEY MS PT
1147 S 3RD ST
NILES, MI 49120-3472
Phone number: 269-684-9470
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Mailing Address
-- CONNIE RENEE SHELLEY MS PT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 800-944-9782
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