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1053438804
SHANNON R. MYATT
CINCINNATI, OH
NPI
1053438804
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Former Name
SHANNON R LACKEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH COA.07847-NP)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- SHANNON R. MYATT RN, CNP
3333 BURNET AVE. ML 4000
CINCINNATI, OH 45229-3039
Phone number: 513-636-4681
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Mailing Address
-- SHANNON R. MYATT RN, CNP
3333 BURNET AVE. ML 5021
CINCINNATI, OH 45229-3039
Phone number: 513-636-0356
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