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De'Aire Shannon
NPI 1235572975 · on the registry since 2013 · sole proprietor
Practice
- Address
- 9368 Thunder Basin Ave
Las Vegas, NV 89149 - Phone
- (702) 592-2767
- Fax
- (702) 396-2226
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Male
- Record last updated
- 2013-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada