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1508880725
SHANNON M POWELL
IRON MOUNTAIN, MI
NPI
1508880725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: IL 147-001051)
Enumeration Date
2006-07-27
Last Update Date
2018-12-03
Business Address
SHANNON M POWELL CCC
325 E H ST
IRON MOUNTAIN, MI 49801-4760
Phone number: 906-774-3300
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Mailing Address
SHANNON M POWELL CCC
325 E H ST
IRON MOUNTAIN, MI 49801-4760
Phone number: 906-774-3300
Copy
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