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1174986186
SHANNON BROCK ASBURY
JOHNSON CITY, TN
NPI
1174986186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363AS0400X Physician Assistant, Surgical
Enumeration Date
2016-03-29
Last Update Date
2016-03-29
Business Address
Mr. SHANNON BROCK ASBURY PA-C
2410 SUSANNAH STREET
JOHNSON CITY, TN 37601
Phone number: 423-282-9011
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Mailing Address
Mr. SHANNON BROCK ASBURY PA-C
2410 SUSANNAH STREET
JOHNSON CITY, TN 37601
Phone number: 423-282-9011
Copy
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