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1003214842
BRIAN HUGH SHANNON
VINELAND, NJ
NPI
1003214842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00533400)
Enumeration Date
2014-12-10
Last Update Date
2024-08-26
Business Address
BRIAN HUGH SHANNON APN
1138 E CHESTNUT AVE STE 8B
VINELAND, NJ 08360-5053
Phone number: 856-213-9733
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Mailing Address
BRIAN HUGH SHANNON APN
301 LIPPINCOTT DR STE 410
MARLTON, NJ 08053-4197
Phone number: 856-247-7210
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