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Individual
SHANNON SUZANNE DILLON
Active
Individual
SHANNON SUZANNE DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01085591A
IN
208000000X
Pediatrics Physician
A100107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300052110
—
IN
Enumeration date
05/07/2007
Last updated
02/02/2022
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