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1811233794
MARK SHANNON THOMAS
SNELLVILLE, GA
NPI
1811233794
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Former Name
MARK SHANNON KING
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date
2012-12-20
Last Update Date
2018-04-10
Business Address
Mr. MARK SHANNON THOMAS
2124 FOUNTAIN SQ
SNELLVILLE, GA 30078-3196
Phone number: 770-689-9788
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Mailing Address
Mr. MARK SHANNON THOMAS
2055 GEES MILL RD NE STE 313
CONYERS, GA 30013-1363
Phone number: 770-689-9788
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