SHANNON L CORNWELL

FULLERTON, CA
NPI1902961626
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA17022)
Enumeration Date2006-12-22
Last Update Date2009-03-11
Business Address
-- SHANNON L CORNWELL PA
101 E VALENCIA MESA DR EM DEPT
FULLERTON, CA 92835-3809
Phone number: 714-992-3965
Mailing Address
-- SHANNON L CORNWELL PA
4401 W MEMORIAL RD SUITE 121
OKLAHOMA CITY, OK 73134-1785
Phone number: 405-751-4664
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