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1912775073
SHANNON WEIS
LAGUNA HILLS, CA
NPI
1912775073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 6369)
Enumeration Date
2023-12-18
Last Update Date
2023-12-18
Business Address
Mrs. SHANNON WEIS PTA
24422 AVENIDA DE LA CARLOTA STE 100
LAGUNA HILLS, CA 92653-3648
Phone number: 949-716-2730
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Mailing Address
Mrs. SHANNON WEIS PTA
24422 AVENIDA DE LA CARLOTA STE 100
LAGUNA HILLS, CA 92653-3648
Phone number: 949-716-2730
Copy
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