SHANNON WALDON

HERRIN, IL
NPI1336555051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other Surgical Technologist
(Licence: KY  4393)
Enumeration Date2014-07-02
Last Update Date2014-09-09
Business Address
SHANNON WALDON CSA
510 LINCOLN DR
HERRIN, IL 62948-6334
Phone number: 618-997-6800
Mailing Address
SHANNON WALDON CSA
4787 ALBEN BARKLEY DR
PADUCAH, KY 42001-6789
Phone number: 270-442-9461
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