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1215258819
SHANNON FAGAN DOMANGUE
THE WOODLANDS, TX
NPI
1215258819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA07397)
Enumeration Date
2010-06-17
Last Update Date
2017-04-18
Business Address
SHANNON FAGAN DOMANGUE PA-C
17450 ST LUKES WAY STE 290
THE WOODLANDS, TX 77384-8045
Phone number: 281-296-8500
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Mailing Address
SHANNON FAGAN DOMANGUE PA-C
17450 ST LUKES WAY STE 290
THE WOODLANDS, TX 77384-8045
Phone number: 281-296-8500
Copy
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