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1215557418
SHANNON LARATONDA
COLUMBIA, MO
NPI
1215557418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 1134368962)
Enumeration Date
2020-04-17
Last Update Date
2020-04-17
Business Address
SHANNON LARATONDA MD, MBA, MHS
619 N PROVIDENCE RD # 4355
COLUMBIA, MO 65203-4355
Phone number: 573-234-1070
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Mailing Address
SHANNON LARATONDA MD, MBA, MHS
3605 BRIARMONT AVE APT 311
COLUMBIA, MO 65201-3678
Phone number:
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