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1114785029
KAILEY SHANNON
AMARILLO, TX
NPI
1114785029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-06
Last Update Date
2024-03-06
Business Address
KAILEY SHANNON
9201 TOWN SQUARE BLVD APT 4205
AMARILLO, TX 79119-1664
Phone number: 210-237-9274
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Mailing Address
KAILEY SHANNON
9201 TOWN SQUARE BLVD APT 4205
AMARILLO, TX 79119-1664
Phone number:
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