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Individual

SHANNON LEE FLEMING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HEALTH SERVICES TECH

Contact information

Practice address
14750 NW 44TH CT, OPA LOCKA, FL 33054-2304
(305) 953-2266
(305) 953-2308
Mailing address
622 SW 9TH ST, FORT LAUDERDALE, FL 33315-3832
(206) 388-7469
(305) 953-2308

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
10/20/2006
Last updated
07/08/2007
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