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1326075078
SHANNON M. NELSON
MEQUON, WI
NPI
1326075078
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Former Name
SHANNON M. LANG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 1516)
Enumeration Date
2006-06-27
Last Update Date
2021-02-24
Business Address
SHANNON M. NELSON P.A.
13133 N PORT WASHINGTON RD STE 204
MEQUON, WI 53097-2420
Phone number: 262-243-2524
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Mailing Address
SHANNON M. NELSON P.A.
788 N JEFFERSON ST SUITE 300/KAAREN BUTZEN
MILWAUKEE, WI 53202-3718
Phone number: 414-272-8950
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