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1568217784
SHANNON ROBERTS
GRAND PRAIRIE, TX
NPI
1568217784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-04-22
Last Update Date
2024-04-24
Business Address
SHANNON ROBERTS
2307 OAK LN STE 120
GRAND PRAIRIE, TX 75051-4885
Phone number: 469-999-5934
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Mailing Address
SHANNON ROBERTS
2307 OAK LN STE 120
GRAND PRAIRIE, TX 75051-4885
Phone number: 469-999-5934
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