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1770771495
SHANNON EDWARD OWENS
JACKSON, WY
NPI
1770771495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WY 1081)
Enumeration Date
2007-10-09
Last Update Date
2007-10-09
Business Address
Dr. SHANNON EDWARD OWENS D.D.S., M.S.
1130 SOUTH HWY 89
JACKSON, WY 83001-0628
Phone number: 307-733-3848
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Mailing Address
Dr. SHANNON EDWARD OWENS D.D.S., M.S.
PO BOX 628
JACKSON, WY 83001-0628
Phone number: 307-733-3848
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