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1265021166
JOHN RILEY SHANNON
HOOVER, AL
NPI
1265021166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-01-14
Last Update Date
2021-01-14
Business Address
JOHN RILEY SHANNON
315 N LAKE RD
HOOVER, AL 35242-7015
Phone number: 205-908-5495
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Mailing Address
JOHN RILEY SHANNON
315 N LAKE RD
HOOVER, AL 35242-7015
Phone number:
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