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1013494970
SHANNON BUMGARDNER STANDISH
GASTONIA, NC
NPI
1013494970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5010723)
Enumeration Date
2018-07-24
Last Update Date
2023-12-13
Business Address
Mrs. SHANNON BUMGARDNER STANDISH FNP-C
2544 COURT DR STE F
GASTONIA, NC 28054-3450
Phone number: 704-864-8302
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Mailing Address
Mrs. SHANNON BUMGARDNER STANDISH FNP-C
3158 FREEDOM DR STE 3102
CHARLOTTE, NC 28208-0014
Phone number: 704-731-6857
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