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1558987248
SHANNON DAVIS
MONTICELLO, AR
NPI
1558987248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-18
Last Update Date
2021-06-09
Business Address
SHANNON DAVIS LPN
790 ROBERTS DR
MONTICELLO, AR 71655-5723
Phone number: 870-367-2461
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Mailing Address
SHANNON DAVIS LPN
318 N MYRTLE ST
WARREN, AR 71671
Phone number: 870-250-0805
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