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1659831584
CHARLES MAXWELL SHANNON
HOUSTON, TX
NPI
1659831584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
CHARLES MAXWELL SHANNON
1 BAYLOR PLZ
HOUSTON, TX 77030-3498
Phone number: 214-546-5308
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Mailing Address
CHARLES MAXWELL SHANNON
7010 STAFFORDSHIRE BLVD APT 147
HOUSTON, TX 77030-4128
Phone number: 214-546-5308
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