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1972557221
SHANNON LOFTIS
MILWAUKEE, WI
NPI
1972557221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 928-023)
Enumeration Date
2006-05-20
Last Update Date
2014-08-21
Business Address
Ms. SHANNON LOFTIS PAC
1155 N MAYFAIR RD PLANK ROAD CLINIC
MILWAUKEE, WI 53226-3421
Phone number: 414-955-5990
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Mailing Address
Ms. SHANNON LOFTIS PAC
1155 N MAYFAIR RD PLANK ROAD CLINIC
MILWAUKEE, WI 53226-3421
Phone number: 414-955-5990
Copy
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