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1033227483
MARYELLEN KATHRYN SHANNON
IRVINE, CA
NPI
1033227483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: AZ AZ19717)
Enumeration Date
2006-08-27
Last Update Date
2015-01-02
Business Address
Ms. MARYELLEN KATHRYN SHANNON MD
6 HUGHES STE 100
IRVINE, CA 92618-2059
Phone number: 949-680-1880
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Mailing Address
Ms. MARYELLEN KATHRYN SHANNON MD
6 HUGHES STE 100
IRVINE, CA 92618-2059
Phone number: 949-680-1880
Copy
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