SHANNON MALLORY FATSEAS

COLUMBUS, OH
NPI1972834240
Former NameSHANNON KATHLEEN MALLORY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OH  50.004255)
Enumeration Date2010-01-26
Last Update Date2020-11-09
Business Address
Mrs. SHANNON MALLORY FATSEAS PA-C, R.D.
1211 DUBLIN RD
COLUMBUS, OH 43215-1026
Phone number: 614-485-2675
Mailing Address
Mrs. SHANNON MALLORY FATSEAS PA-C, R.D.
391 E WHITTIER ST
COLUMBUS, OH 43206-2326
Phone number: 614-378-1907
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