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1003893991
RICHARD J. SHANNON
FLAGSTAFF, AZ
NPI
1003893991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ 3611)
Enumeration Date
2005-12-30
Last Update Date
2007-07-08
Business Address
Dr. RICHARD J. SHANNON DDS
1251 W UNIVERSITY AVE
FLAGSTAFF, AZ 86001-2602
Phone number: 928-214-0772
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Mailing Address
Dr. RICHARD J. SHANNON DDS
1251 W UNIVERSITY AVE
FLAGSTAFF, AZ 86001-2602
Phone number: 928-214-0772
Copy
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