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1073715678
SHANNON STAR NEUMANN
DETROIT, MI
NPI
1073715678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MI 4704205588)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
-- SHANNON STAR NEUMANN NP
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-1387
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Mailing Address
-- SHANNON STAR NEUMANN NP
45830 LOOKOUT DR
MACOMB, MI 48044-6236
Phone number: 586-350-8626
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