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Individual
ARDIS CHRISTOPHER SHANNON
Active
Individual
ARDIS CHRISTOPHER SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
243944436
MS
343800000X
Secured Medical Transport (VAN)
243944436
MS
343900000X
Non-emergency Medical Transport (VAN)
243944436
MS
Other
Enumeration date
01/24/2024
Last updated
02/22/2024
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