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Individual

SHANNON ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3440 OAKWOOD HILLS PKWY, EAU CLAIRE, WI 54701-7698
(715) 214-2525
Mailing address
E22105 COUNTY LINE RD, CADOTT, WI 54727-9200
(715) 667-5383

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30254331
WI

Other

Enumeration date
04/10/2017
Last updated
04/10/2017
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