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1962104265
DIANA L SHANNON
FORT WORTH, TX
NPI
1962104265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: TX 555019)
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
DIANA L SHANNON RNFA
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-6400
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Mailing Address
DIANA L SHANNON RNFA
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-6400
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