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1851800049
MATTHEW PATRICK SHANNON
GILBERT, AZ
NPI
1851800049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 6866)
Enumeration Date
2017-09-20
Last Update Date
2017-09-20
Business Address
MATTHEW PATRICK SHANNON PA-C
2680 S VAL VISTA DR STE 116
GILBERT, AZ 85295-2154
Phone number: 480-507-5678
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Mailing Address
MATTHEW PATRICK SHANNON PA-C
1356 W 14TH ST
TEMPE, AZ 85281-6407
Phone number: 602-505-2894
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