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1538811997
SHANNON EDWARDS
TABLE ROCK, NE
NPI
1538811997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
Enumeration Date
2022-01-26
Last Update Date
2022-01-26
Business Address
SHANNON EDWARDS
308 LUZERNE
TABLE ROCK, NE 68447
Phone number: 816-654-5138
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Mailing Address
SHANNON EDWARDS
PO BOX 172
TABLE ROCK, NE 68447-0172
Phone number: 816-654-5138
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