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1770214652
ANDREW TODD LAMAR SHANNON
BREMERTON, WA
NPI
1770214652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-06-21
Last Update Date
2022-06-21
Business Address
ANDREW TODD LAMAR SHANNON
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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Mailing Address
ANDREW TODD LAMAR SHANNON
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
Copy
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