Individual
MS. SHANNON DUNLAP KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
634 EDDY AVE, MISSOULA, MT 59812-1851
(406) 243-4330
Mailing address
424 DIXON AVE, MISSOULA, MT 59801-8749
(406) 549-1361
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
14928
MT
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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