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1043510795
SHANNON W EASTERLIN
ORANGEBURG, SC
NPI
1043510795
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Former Name
SHANNON SAVON WHITEHEAD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: SC 4310)
Enumeration Date
2010-10-28
Last Update Date
2020-03-09
Business Address
SHANNON W EASTERLIN NP
940 HOLLY ST
ORANGEBURG, SC 29115
Phone number: 803-536-2725
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Mailing Address
SHANNON W EASTERLIN NP
940 HOLLY ST
ORANGEBURG, SC 29115-4930
Phone number: 803-536-2725
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