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1518527530
SHANNON ERICKSON
ALBUQUERQUE, NM
NPI
1518527530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NM LD-1294)
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
SHANNON ERICKSON RD, LD
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102-3619
Phone number: 505-727-8358
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Mailing Address
SHANNON ERICKSON RD, LD
2300 DIAMOND MESA TRL SW APT 4806
ALBUQUERQUE, NM 87121-3748
Phone number:
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