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1063430841
SHANNON L NOLAN
OMAHA, NE
NPI
1063430841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NE 1206)
Enumeration Date
2006-07-18
Last Update Date
2009-01-28
Business Address
-- SHANNON L NOLAN PA-C
13616 CALIFORNIA ST STE 100
OMAHA, NE 68154-5335
Phone number: 402-496-0404
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Mailing Address
-- SHANNON L NOLAN PA-C
13616 CALIFORNIA ST STE 100
OMAHA, NE 68154-5335
Phone number: 402-496-0404
Copy
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