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1508597121
RILEY SHANNON
HOUSTON, TX
NPI
1508597121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA17171)
Enumeration Date
2022-06-23
Last Update Date
2023-11-01
Business Address
RILEY SHANNON
11800 ASTORIA BLVD
HOUSTON, TX 77089-6041
Phone number: 281-929-6100
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Mailing Address
RILEY SHANNON
3037 SAMANTHA DR
BALDWINSVILLE, NY 13027-8978
Phone number: 315-415-4969
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