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1043918055
SHANNON TELIS MERWIN
RAEFORD, NC
NPI
1043918055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5017680)
Enumeration Date
2023-02-20
Last Update Date
2023-02-20
Business Address
SHANNON TELIS MERWIN FNP-BC
929 W PROSPECT RD
RAEFORD, NC 28376-9543
Phone number: 910-904-1695
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Mailing Address
SHANNON TELIS MERWIN FNP-BC
929 W PROSPECT RD
RAEFORD, NC 28376-9543
Phone number: 910-904-1695
Copy
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