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1255052031
SHANNON L CLARK
TEMPE, AZ
NPI
1255052031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: AZ 242334)
Enumeration Date
2022-09-08
Last Update Date
2022-09-08
Business Address
SHANNON L CLARK RN CCM
1115 W 5TH ST
TEMPE, AZ 85281-2510
Phone number: 480-929-9909
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Mailing Address
SHANNON L CLARK RN CCM
1115 W 5TH ST
TEMPE, AZ 85281-2510
Phone number: 480-929-9909
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