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1164750105
SHANNON L. CHURCH
SPRINGFIELD, MA
NPI
1164750105
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Former Name
SHANNON L. LAMBERT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MA PA3911)
Enumeration Date
2009-12-03
Last Update Date
2016-05-18
Business Address
Ms. SHANNON L. CHURCH PA
271 CAREW ST
SPRINGFIELD, MA 01104-2377
Phone number: 413-748-9349
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Mailing Address
Ms. SHANNON L. CHURCH PA
271 CAREW ST
SPRINGFIELD, MA 01104-2377
Phone number: 413-748-9349
Copy
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