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1477579480
SHANNON KIRK
LOMA LINDA, CA
NPI
1477579480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA A54578)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
-- SHANNON KIRK M.D.
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-8311
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Mailing Address
-- SHANNON KIRK M.D.
PO BOX 30959
LOS ANGELES, CA 90030-0959
Phone number: 909-558-3014
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