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1124544051
SHANNON KUETTEL
GLENDALE, AZ
NPI
1124544051
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Former Name
SHANNON OLSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2017-08-22
Last Update Date
2017-08-22
Business Address
SHANNON KUETTEL PA-C
6320 W UNION HILLS DR STE A180
GLENDALE, AZ 85308-7153
Phone number: 623-748-8300
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Mailing Address
SHANNON KUETTEL PA-C
4700 N 16TH ST APT 235
PHOENIX, AZ 85016-4662
Phone number: 612-325-2022
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