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1871105213
MICHAEL SHANNON
ANCHORAGE, AK
NPI
1871105213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AK 152821)
Enumeration Date
2020-08-18
Last Update Date
2020-08-18
Business Address
MICHAEL SHANNON LPN
1015 E 6TH AVE
ANCHORAGE, AK 99501-2748
Phone number: 907-276-6430
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Mailing Address
MICHAEL SHANNON LPN
1015 E 6TH AVE
ANCHORAGE, AK 99501-2748
Phone number: 907-276-6430
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