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1104680644
SHANNON MARIE MCGOURN
TORRINGTON, CT
NPI
1104680644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT F01241425)
Enumeration Date
2024-02-06
Last Update Date
2024-02-06
Business Address
Mrs. SHANNON MARIE MCGOURN APRN
538 LITCHFIELD ST STE G02
TORRINGTON, CT 06790-6669
Phone number: 860-489-5068
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Mailing Address
Mrs. SHANNON MARIE MCGOURN APRN
785 OLD TURNPIKE RD
PLANTSVILLE, CT 06479-1715
Phone number:
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