SHANNON SACK

LINCOLN, NE
NPI1467135319
Former NameSHANNON SULLIVAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2023-08-08
Last Update Date2023-08-08
Business Address
SHANNON SACK
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1905
Mailing Address
SHANNON SACK
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1905
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