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1962152108
SHANNON HORTON
BAYONNE, NJ
NPI
1962152108
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Former Name
SHANNON WILSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-28
Last Update Date
2022-05-02
Business Address
DR. SHANNON HORTON MD
29 E 29TH ST
BAYONNE, NJ 07002-4654
Phone number: 201-858-5249
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Mailing Address
DR. SHANNON HORTON MD
39 CORNELISON AVE APT 205
JERSEY CITY, NJ 07304-3936
Phone number:
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