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1609579663
SHANNON GRAHAM
WILKES BARRE, PA
NPI
1609579663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: PA DN007835)
Enumeration Date
2023-03-27
Last Update Date
2023-09-27
Business Address
SHANNON GRAHAM MS, RDN, LDN
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711-0027
Phone number: 570-808-7803
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Mailing Address
SHANNON GRAHAM MS, RDN, LDN
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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