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1356470314
KEVIN CHARLES SHANNON
SAN BERNARDINO, CA
NPI
1356470314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NH 11096)
Enumeration Date
2007-03-05
Last Update Date
2013-04-15
Business Address
Dr. KEVIN CHARLES SHANNON M.D.
1454 E 2ND ST
SAN BERNARDINO, CA 92408-0118
Phone number: 909-382-7146
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Mailing Address
Dr. KEVIN CHARLES SHANNON M.D.
1454 E 2ND ST
SAN BERNARDINO, CA 92408-0118
Phone number: 909-382-7146
Copy
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