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1912649310
SHANNON BREWER
LITTLE ROCK, AR
NPI
1912649310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-07
Last Update Date
2022-04-07
Business Address
SHANNON BREWER DO
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-7592
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Mailing Address
SHANNON BREWER DO
3320 CAMP BOWIE BLVD APT 2110
FORT WORTH, TX 76107-2756
Phone number: 903-748-7115
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