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1124524699
SHANNON PETRUS ZEHTABAN
LITTLE ROCK, AR
NPI
1124524699
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Former Name
SHANNON NICOLE PETRUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: AR E-16971)
Enumeration Date
2018-04-03
Last Update Date
2023-07-26
Business Address
SHANNON PETRUS ZEHTABAN MD
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205-6389
Phone number: 501-227-9080
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Mailing Address
SHANNON PETRUS ZEHTABAN MD
9500 KANIS RD STE 501
LITTLE ROCK, AR 72205-6389
Phone number: 501-227-9080
Copy
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