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1215176607
SHANNON M BEAULIEU
AUSTELL, GA
NPI
1215176607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date
2009-02-10
Last Update Date
2009-02-10
Business Address
Mrs. SHANNON M BEAULIEU
1676 MULKEY RD STE A
AUSTELL, GA 30106-1170
Phone number: 678-838-6600
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Mailing Address
Mrs. SHANNON M BEAULIEU
1676 MULKEY RD STE A
AUSTELL, GA 30106-1170
Phone number: 678-838-6600
Copy
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