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1295774883
SHANNAN M DENNIS
LIMA, OH
NPI
1295774883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50001800)
Enumeration Date
2006-06-06
Last Update Date
2008-05-16
Business Address
-- SHANNAN M DENNIS PAC
730 W MARKET ST
LIMA, OH 45801-4602
Phone number: 419-227-3361
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Mailing Address
-- SHANNAN M DENNIS PAC
4750 HEMPSTEAD STATION DR
KETTERING, OH 45429-5164
Phone number: 800-875-0136
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