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1073042750
ELIZABETH SHANNON
FORT RILEY, ZZ
NPI
1073042750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA058736)
Enumeration Date
2017-06-07
Last Update Date
2022-01-29
Business Address
ELIZABETH SHANNON PA-C
650 HUEBNER RD
FORT RILEY, ZZ
Phone number: 785-240-7356
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Mailing Address
ELIZABETH SHANNON PA-C
935 FOXHUNT LN
FAYETTEVILLE, NC 28314-6077
Phone number:
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