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1982089173
SHANNON ALLEN
RIVERSIDE, CA
NPI
1982089173
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Former Name
SHANNON SPRAGUE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95002684)
Enumeration Date
2015-07-29
Last Update Date
2020-02-24
Business Address
SHANNON ALLEN
7117 BROCKTON AVE
RIVERSIDE, CA 92506-2658
Phone number: 951-782-3739
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Mailing Address
SHANNON ALLEN
7117 BROCKTON AVE
RIVERSIDE, CA 92506-2658
Phone number: 951-782-3739
Copy
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