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1730645763
SHANNON LYNN STARK
MESA, AZ
NPI
1730645763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 222543)
Enumeration Date
2019-02-14
Last Update Date
2022-03-09
Business Address
SHANNON LYNN STARK NP
2735 E MAIN ST STE 2&3
MESA, AZ 85213-9269
Phone number: 480-867-1722
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Mailing Address
SHANNON LYNN STARK NP
11261 E RALEIGH AVE
MESA, AZ 85212-4084
Phone number: 480-353-6758
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