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1376744243
SHANNON L THOMAS
FORT WAYNE, IN
NPI
1376744243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26020557A)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
Dr. SHANNON L THOMAS
2520 EAST DUPONT RD.
FORT WAYNE, IN 46825
Phone number: 260-416-3140
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Mailing Address
Dr. SHANNON L THOMAS
17205 BLACK CREEK CT
HARLAN, IN 46743-9773
Phone number: 260-657-1382
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