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1437410073
SHANNON LEE FOUST
PUEBLO, CO
NPI
1437410073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CO SRA100083)
Enumeration Date
2012-05-30
Last Update Date
2016-02-17
Business Address
-- SHANNON LEE FOUST CRNA
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4420
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Mailing Address
-- SHANNON LEE FOUST CRNA
PO BOX 668
ARVADA, CO 80001-0668
Phone number: 303-422-9438
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