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1790530434
SHANNON BOWERMAN LAVIGNE
WICHITA, KS
NPI
1790530434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: KS 3178-T)
Enumeration Date
2024-04-17
Last Update Date
2024-04-17
Business Address
Dr. SHANNON BOWERMAN LAVIGNE PhD
8533 E 32ND ST N
WICHITA, KS 67226-2611
Phone number: 952-221-9830
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Mailing Address
Dr. SHANNON BOWERMAN LAVIGNE PhD
8431 FREDERICKSBURG RD
SAN ANTONIO, TX 78229-3392
Phone number: 952-221-9830
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