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1912459983
SHANNON AVENA
MISHAWAKA, IN
NPI
1912459983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18004001A)
Enumeration Date
2016-10-26
Last Update Date
2020-04-16
Business Address
SHANNON AVENA OD
5111 N MAIN ST STE 200
MISHAWAKA, IN 46545-9047
Phone number: 574-277-8121
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Mailing Address
SHANNON AVENA OD
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899
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