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1093745655
JUSTIN R SHANNON
REDDING, CA
NPI
1093745655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA PA15715)
Enumeration Date
2006-07-03
Last Update Date
2017-10-18
Business Address
-- JUSTIN R SHANNON NP
2175 ROSALINE AVE
REDDING, CA 96001-2509
Phone number: 530-225-6000
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Mailing Address
-- JUSTIN R SHANNON NP
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1844
Phone number: 510-851-7423
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