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1902339617
SHANNON KEAGON YEAGER
GRAND JUNCTION, CO
NPI
1902339617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
224L00000X Pedorthist
Enumeration Date
2017-04-10
Last Update Date
2017-04-10
Business Address
-- SHANNON KEAGON YEAGER BOCP, C.Ped.
2470 PATTERSON RD STE 9
GRAND JUNCTION, CO 81505-1028
Phone number: 970-243-6000
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Mailing Address
-- SHANNON KEAGON YEAGER BOCP, C.Ped.
2470 PATTERSON RD STE 9
GRAND JUNCTION, CO 81505-1028
Phone number: 970-243-6000
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