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1982249090
SHANNAN C VINCENT
SOUTH BEND, IN
NPI
1982249090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2019-11-12
Last Update Date
2019-11-12
Business Address
SHANNAN C VINCENT PT
3016 PORTAGE AVE
SOUTH BEND, IN 46628-3501
Phone number: 574-272-9011
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Mailing Address
SHANNAN C VINCENT PT
686 FOREST CT
NAPPANEE, IN 46550-2831
Phone number: 574-773-0207
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