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1083232938
SHANNON RANDA LEE
NEW HARTFORD, NY
NPI
1083232938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 345930)
Enumeration Date
2020-07-08
Last Update Date
2020-07-08
Business Address
SHANNON RANDA LEE FNP
1729 BURRSTONE RD
NEW HARTFORD, NY 13413-1001
Phone number: 315-798-1830
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Mailing Address
SHANNON RANDA LEE FNP
1729 BURRSTONE RD
NEW HARTFORD, NY 13413-1001
Phone number: 315-798-1830
Copy
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