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1992173017
SHANNON MULLEN
REDLANDS, CA
NPI
1992173017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
Enumeration Date
2015-09-05
Last Update Date
2018-10-02
Business Address
SHANNON MULLEN PA
1690 BARTON RD
REDLANDS, CA 92373-4229
Phone number: 909-793-3311
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Mailing Address
SHANNON MULLEN PA
PO BOX 10069
SAN BERNARDINO, CA 92423-0069
Phone number: 909-335-4188
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