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1164879839
ROBERT SHANNON
WASCO, CA
NPI
1164879839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95035529)
Enumeration Date
2016-05-23
Last Update Date
2022-04-08
Business Address
ROBERT SHANNON fnp
2101 7TH ST
WASCO, CA 93280-1502
Phone number: 661-758-2263
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Mailing Address
ROBERT SHANNON fnp
4900 CALIFONIA AVE SUITE 400-B
BAKERSFIELD, CA 93309
Phone number: 661-459-1900
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