DAVIS SHANNON

BLOOMINGTON, IL
NPI1265985170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-07-27
Last Update Date2026-04-17
Business Address
-- DAVIS SHANNON MSW
702 W CHESTNUT ST
BLOOMINGTON, IL 61701-2814
Phone number: 217-649-5765
Mailing Address
-- DAVIS SHANNON MSW
702 W CHESTNUT ST
BLOOMINGTON, IL 61701-2814
Phone number:
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