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1679139943
SHANNON DOCKHAM
SAN JOSE, CA
NPI
1679139943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95007952)
Enumeration Date
2019-05-13
Last Update Date
2019-06-22
Business Address
SHANNON DOCKHAM FNP-C
554 BLOSSOM HILL RD
SAN JOSE, CA 95123-3212
Phone number: 408-281-2772
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Mailing Address
SHANNON DOCKHAM FNP-C
2100 POWELL ST STE 400
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600
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