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1972156990
SHANNON ELISE BRISBIN
HUNTINGTON, IN
NPI
1972156990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10002715A)
Enumeration Date
2019-07-18
Last Update Date
2022-10-17
Business Address
Mrs. SHANNON ELISE BRISBIN PA-C
2003 STULTS RD STE 100
HUNTINGTON, IN 46750-1291
Phone number: 260-356-5424
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Mailing Address
Mrs. SHANNON ELISE BRISBIN PA-C
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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