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1376912618
SHANNON REYNOLDS
FORT DEFIANCE, AZ
NPI
1376912618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A135859)
Enumeration Date
2015-09-16
Last Update Date
2023-01-28
Business Address
Dr. SHANNON REYNOLDS MD
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8132
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Mailing Address
Dr. SHANNON REYNOLDS MD
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8600
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