MRS. Shannon Blank

NPI #1275982886 in Plainwell, Michigan

Provider Information

NPI Number: 1275982886
Entity Type: Individual
Name: MRS. Shannon Blank
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 6, 2016
Last Updated: Jun 6, 2016

Practice Location

Address: 1382 W B AVE
City: Plainwell
State: Michigan
ZIP Code: 49080-9685
Phone: (616) 405-5992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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