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1912439001
SHANNON MOORE
LAS VEGAS, NV
NPI
1912439001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-03-29
Last Update Date
2018-03-17
Business Address
SHANNON MOORE
3513 E RUSSELL RD STE D
LAS VEGAS, NV 89120-2244
Phone number: 702-545-0022
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Mailing Address
SHANNON MOORE
3513 E RUSSELL RD STE D
LAS VEGAS, NV 89120-2244
Phone number: 702-545-0022
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