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Individual
DR. EVAN SHANNON
Active
Individual
DR. EVAN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A174141
CA
Other
Enumeration date
06/12/2015
Last updated
12/28/2023
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