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1639403892
SHANNA M GANNON
HAMDEN, CT
NPI
1639403892
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Former Name
SHANNA NICOLE MILLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 2318)
Enumeration Date
2009-09-21
Last Update Date
2022-02-14
Business Address
SHANNA M GANNON PA-C
2200 WHITNEY AVE STE 270
HAMDEN, CT 06518-3694
Phone number: 203-281-7000
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Mailing Address
SHANNA M GANNON PA-C
2200 WHITNEY AVE STE 270
HAMDEN, CT 06518-3694
Phone number: 203-281-7000
Copy
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