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1932274578
SHANNON WHITLOCK
LANSDOWNE, VA
NPI
1932274578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: VA 0110002157)
Enumeration Date
2006-11-21
Last Update Date
2011-10-06
Business Address
SHANNON WHITLOCK PAC
19465 DEERFIELD AVE SUITE 408
LANSDOWNE, VA 20176-1701
Phone number: 703-723-6568
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Mailing Address
SHANNON WHITLOCK PAC
19465 DEERFIELD AVE SUITE 408
LANSDOWNE, VA 20176-1701
Phone number: 703-723-6568
Copy
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