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1962050161
SHANNON JO WYATT-NYQUIST
DURHAM, NC
NPI
1962050161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 12723)
Enumeration Date
2019-08-30
Last Update Date
2022-12-19
Business Address
SHANNON JO WYATT-NYQUIST OTD, OTR/L
3609 SW DURHAM DR
DURHAM, NC 27707-6507
Phone number: 919-613-5002
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Mailing Address
SHANNON JO WYATT-NYQUIST OTD, OTR/L
3609 SW DURHAM DR
DURHAM, NC 27707-6507
Phone number: 919-613-5002
Copy
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