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1922636810
SHANNON SMITH
CHANDLER, AZ
NPI
1922636810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 921653)
Enumeration Date
2020-03-28
Last Update Date
2020-03-28
Business Address
Dr. SHANNON SMITH RD
1955 W FRYE RD
CHANDLER, AZ 85224-6282
Phone number: 480-728-3000
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Mailing Address
Dr. SHANNON SMITH RD
1516 E ROVEY AVE APT 6
PHOENIX, AZ 85014-2441
Phone number: 214-606-9056
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