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1952847253
SHANNON ELAN BISHOP
COOLIDGE, AZ
NPI
1952847253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: AZ 1783777)
Enumeration Date
2017-01-10
Last Update Date
2017-01-10
Business Address
-- SHANNON ELAN BISHOP
250 E CONGRESS AVE
COOLIDGE, AZ 85128-4519
Phone number: 520-560-1545
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Mailing Address
-- SHANNON ELAN BISHOP
994 S HARRISON RD
TUCSON, AZ 85748-6608
Phone number: 520-721-1887
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