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1023582905
SHANNON LYNETTE ELLISON
BRONX, NY
NPI
1023582905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
SHANNON LYNETTE ELLISON
529 COURTLANDT AVE
BRONX, NY 10451-5007
Phone number: 718-993-7700
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Mailing Address
SHANNON LYNETTE ELLISON
950 EVERGREEN AVE
BRONX, NY 10473-4507
Phone number: 347-872-0237
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