SHANNON DONNEL MACKLEM

LAKE HAVASU CITY, AZ
NPI1922769272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  011003)
Enumeration Date2022-01-07
Last Update Date2022-01-07
Business Address
SHANNON DONNEL MACKLEM PTA
191 SWANSON AVE STE 102
LAKE HAVASU CITY, AZ 86403-6699
Phone number: 928-855-7880
Mailing Address
SHANNON DONNEL MACKLEM PTA
191 SWANSON AVE STE 102
LAKE HAVASU CITY, AZ 86403-6699
Phone number: 928-855-7880
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