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1699450858
SHANNON MOIRA SULLIVAN
AUSTIN, TX
NPI
1699450858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT86901)
Enumeration Date
2023-06-15
Last Update Date
2023-06-15
Business Address
SHANNON MOIRA SULLIVAN RD
8700 MENCHACA RD STE 806
AUSTIN, TX 78748-5379
Phone number: 254-290-2183
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Mailing Address
SHANNON MOIRA SULLIVAN RD
400 W SAINT ELMO RD APT 1007
AUSTIN, TX 78745-3316
Phone number: 254-290-2183
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