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1649372228
JAMES DEANE SHANNON
MT STERLING, KY
NPI
1649372228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: KY 0655)
Enumeration Date
2006-09-02
Last Update Date
2007-07-08
Business Address
-- JAMES DEANE SHANNON PA
300 FOXGLOVE DR
MT STERLING, KY 40353-9769
Phone number: 859-498-2135
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Mailing Address
-- JAMES DEANE SHANNON PA
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588
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