SHANNON PROFANCHIK

COPPELL, TX
NPI1376918862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP129425)
Enumeration Date2015-12-09
Last Update Date2015-12-09
Business Address
-- SHANNON PROFANCHIK
546 E SANDY LAKE RD
COPPELL, TX 75019-5786
Phone number: 972-393-8067
Mailing Address
-- SHANNON PROFANCHIK
546 E SANDY LAKE RD
COPPELL, TX 75019-5786
Phone number: 972-393-8067
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