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1669460101
STEVEN SHANNON
PHILADELPHIA, PA
NPI
1669460101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist Foot & Ankle Surgery
(Licence: PA SC-004744-2)
Enumeration Date
2005-10-10
Last Update Date
2012-10-10
Business Address
STEVEN SHANNON DPM
3801 MARKET ST MAB #111
PHILADELPHIA, PA 19104-3153
Phone number: 215-662-9563
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Mailing Address
STEVEN SHANNON DPM
3801 MARKET ST MAB # 111
PHILADELPHIA, PA 19104-3153
Phone number: 215-662-9563
Copy
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