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1669185070
SHANNON NICOLE LOPEZ
HUNT VALLEY, MD
NPI
1669185070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110009442)
Enumeration Date
2022-12-30
Last Update Date
2024-07-29
Business Address
Mrs. SHANNON NICOLE LOPEZ PA
11350 MCCORMICK RD STE 501
HUNT VALLEY, MD 21031-1002
Phone number: 703-738-4371
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Mailing Address
Mrs. SHANNON NICOLE LOPEZ PA
11350 MCCORMICK RD STE 501
HUNT VALLEY, MD 21031-1002
Phone number:
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