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1508837451
SHANNON NICHOLE CLARK
PHOENIX, AZ
NPI
1508837451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: AZ DA 1924)
Enumeration Date
2006-01-30
Last Update Date
2007-07-08
Business Address
-- SHANNON NICHOLE CLARK Au.D.
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-222-6412
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Mailing Address
-- SHANNON NICHOLE CLARK Au.D.
16061 S 38TH WAY
PHOENIX, AZ 85048-7377
Phone number: 480-893-6648
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