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1265889208
SHANNON STUMBAUGH
TAMPA, FL
NPI
1265889208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic
Enumeration Date
2016-05-19
Last Update Date
2016-05-19
Business Address
SHANNON STUMBAUGH
5224 NET DRIVE APT 315
TAMPA, FL 33634
Phone number: 254-231-8890
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Mailing Address
SHANNON STUMBAUGH
5224 NET DR APT 315
TAMPA, FL 33634-5190
Phone number: 254-231-8890
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