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1023597200
SHANNON RENEE IRISH
WILLIAMSVILLE, NY
NPI
1023597200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 022057)
Enumeration Date
2018-08-09
Last Update Date
2019-09-13
Business Address
SHANNON RENEE IRISH PA-C
36 N UNION RD
WILLIAMSVILLE, NY 14221-5383
Phone number: 716-636-1470
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Mailing Address
SHANNON RENEE IRISH PA-C
3925 SHERIDAN DR STE 100
AMHERST, NY 14226-1738
Phone number: 716-250-6492
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