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1083120760
SHANNON L HERNANDEZ
CARLSBAD, NM
NPI
1083120760
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Former Name
SHANNON L ROPER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM CNP03456)
Enumeration Date
2017-12-18
Last Update Date
2024-09-27
Business Address
SHANNON L HERNANDEZ CNP
711 W CHURCH ST
CARLSBAD, NM 88220
Phone number: 575-725-5211
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Mailing Address
SHANNON L HERNANDEZ CNP
711 W CHURCH ST
CARLSBAD, NM 88220
Phone number: 575-725-5211
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