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1083662225
SHANNON BOCK
BROOMFIELD, CO
NPI
1083662225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 1528)
Enumeration Date
2006-05-04
Last Update Date
2020-05-18
Business Address
SHANNON BOCK PA-C
403 SUMMIT BLVD STE 201
BROOMFIELD, CO 80021
Phone number: 303-429-6448
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Mailing Address
SHANNON BOCK PA-C
12596 W BAYAUD AVE STE 205
LAKEWOOD, CO 80228-2018
Phone number: 720-713-1885
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