KELLY SHANNON

CORVALLIS, OR
NPI1760937510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OR  4059AT)
Enumeration Date2016-08-22
Last Update Date2016-08-22
Business Address
Dr. KELLY SHANNON O.D.
1597 SW 53RD ST
CORVALLIS, OR 97333-2630
Phone number: 541-757-8844
Mailing Address
Dr. KELLY SHANNON O.D.
1597 SW 53RD ST
CORVALLIS, OR 97333-2630
Phone number: 541-757-8844
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