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1336974377
LANI RENAE SHANNON
PHOENIX, AZ
NPI
1336974377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ 277474)
Enumeration Date
2024-09-06
Last Update Date
2024-09-06
Business Address
LANI RENAE SHANNON BSN, RN
9201 W THOMAS RD
PHOENIX, AZ 85037-3332
Phone number: 623-327-5859
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Mailing Address
LANI RENAE SHANNON BSN, RN
11217 N 63RD AVE
GLENDALE, AZ 85304-3680
Phone number: 623-695-6478
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