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Individual

JASMINE S SHANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
502 GOLDEN EAGLE DR, BYRAM, MS 39272-5502
(601) 291-2902
Mailing address
502 GOLDEN EAGLE DR, BYRAM, MS 39272-5502
(601) 291-2902

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MS

Other

Enumeration date
10/17/2023
Last updated
10/17/2023
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