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Individual

SHANNON GILZENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1029 S M 37, TRAVERSE CITY, MI 49685-8508
(231) 943-3147
Mailing address
9401 E 18 1/2 RD, MANTON, MI 49663-7501

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303043858
MI

Other

Enumeration date
10/10/2022
Last updated
10/10/2022
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