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1295147288
SHANNA KILLEBREW
DOTHAN, AL
NPI
1295147288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL PA964)
Enumeration Date
2014-05-23
Last Update Date
2021-01-26
Business Address
Miss SHANNA KILLEBREW PA-C
4370 W MAIN ST
DOTHAN, AL 36305-1056
Phone number: 334-793-5000
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Mailing Address
Miss SHANNA KILLEBREW PA-C
PO BOX 6599
DOTHAN, AL 36302-6599
Phone number: 334-793-5000
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