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1437376993
SHANNON M LARSON
FONTANA, CA
NPI
1437376993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA NA2156)
Enumeration Date
2007-04-19
Last Update Date
2007-11-30
Business Address
SHANNON M LARSON CRNA
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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Mailing Address
SHANNON M LARSON CRNA
393 E WALNUT ST 3RD FLOOR PHR SYSTEMS
PASADENA, CA 91188-0001
Phone number: 000-000-0000
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