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Individual

SHELLY ANN SHANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1115 ELM ST, SAINT PAUL, NE 68873-1907
(402) 680-5563
(308) 754-7876
Mailing address
1115 ELM ST, SAINT PAUL, NE 68873-1907
(402) 680-5563
(308) 754-7876

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
NE

Other

Enumeration date
03/24/2021
Last updated
03/24/2021
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