MS. Shanon M Thrush

NPI #1700136488 in Bremen, Indiana

Provider Information

NPI Number: 1700136488
Entity Type: Individual
Name: MS. Shanon M Thrush
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Sep 11, 2012
Last Updated: Sep 11, 2012

Practice Location

Address: 4026 W SHORE DR
City: Bremen
State: Indiana
ZIP Code: 46506-9364
Phone: (574) 248-5484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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