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1225367519
MARK JAY SHANNON
SACRAMENTO, CA
NPI
1225367519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA12702)
Enumeration Date
2009-12-15
Last Update Date
2023-03-07
Business Address
Mr. MARK JAY SHANNON P.A.
1201 ALHAMBRA BLVD SUITE 400
SACRAMENTO, CA 95816-5238
Phone number: 916-733-5090
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Mailing Address
Mr. MARK JAY SHANNON P.A.
10470 OLD PLACERVILLE RD SUITE 100
SACRAMENTO, CA 95827-2539
Phone number: 800-470-0071
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