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1407954357
KATHLEEN SHANNON
BROCKTON, MA
NPI
1407954357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MA 894)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
-- KATHLEEN SHANNON PA-C
940 BELMONT ST VA BOSTON HEALTHCARE SYSTEM
BROCKTON, MA 02301-5596
Phone number: 508-583-4500
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Mailing Address
-- KATHLEEN SHANNON PA-C
9 MARTHA AVE
SWANSEA, MA 02777-1617
Phone number: 508-675-7708
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