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1356452627
SHANNON MARIE BASHAM
PONTE VEDRA BEACH, FL
NPI
1356452627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: FL AY 1361)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
DR. SHANNON MARIE BASHAM AU.D.
830 A1A N SUITE 1
PONTE VEDRA BEACH, FL 32082-3287
Phone number: 904-273-2232
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Mailing Address
DR. SHANNON MARIE BASHAM AU.D.
830 A1A N SUITE 1
PONTE VEDRA BEACH, FL 32082-3287
Phone number: 904-273-2232
Copy
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