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1033758081
SHANNON BOSTON
CLERMONT, FL
NPI
1033758081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN11004710)
Enumeration Date
2019-12-21
Last Update Date
2019-12-21
Business Address
SHANNON BOSTON NP
19225 US HIGHWAY 27
CLERMONT, FL 34715-9025
Phone number: 352-394-6146
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Mailing Address
SHANNON BOSTON NP
720 PATACHES PL
GROVELAND, FL 34736-8047
Phone number: 305-834-6902
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