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1619478823
SHANNON LYNE BANNER
AMARILLO, TX
NPI
1619478823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 844719)
Enumeration Date
2018-02-22
Last Update Date
2018-02-22
Business Address
SHANNON LYNE BANNER
3709 HANCOCK ST
AMARILLO, TX 79109-4215
Phone number: 806-477-2203
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Mailing Address
SHANNON LYNE BANNER
3709 HANCOCK ST
AMARILLO, TX 79109-4215
Phone number: 806-477-2203
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