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1043827769
SHANNON MARIE PACKARD
DEPEW, NY
NPI
1043827769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 346186)
Enumeration Date
2020-09-27
Last Update Date
2020-09-27
Business Address
SHANNON MARIE PACKARD FNP
4893 TRANSIT RD
DEPEW, NY 14043-4698
Phone number: 716-608-7040
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Mailing Address
SHANNON MARIE PACKARD FNP
200 PARKHURST BLVD
TONAWANDA, NY 14223-2858
Phone number: 716-430-7332
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