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1972378511
SHANNON MARIE DICIANNO
SAINT LOUIS, MO
NPI
1972378511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2023046581)
Enumeration Date
2023-11-22
Last Update Date
2023-11-22
Business Address
SHANNON MARIE DICIANNO DPT
3100 MARKET ST
SAINT LOUIS, MO 63103-2528
Phone number: 314-421-2557
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Mailing Address
SHANNON MARIE DICIANNO DPT
303 ERNEST PL
O FALLON, MO 63366-2908
Phone number: 775-219-3633
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