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1992299358
SHANNON OLIVIA LONG
LOS ANGELES, CA
NPI
1992299358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 291794)
Enumeration Date
2018-06-19
Last Update Date
2018-09-14
Business Address
SHANNON OLIVIA LONG PT, DPT
10780 SANTA MONICA BLVD STE 405
LOS ANGELES, CA 90025-7655
Phone number: 310-234-0300
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Mailing Address
SHANNON OLIVIA LONG PT, DPT
10780 SANTA MONICA BLVD STE 405
LOS ANGELES, CA 90025-7655
Phone number: 310-234-0300
Copy
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