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1104816073
MARY M SHANNON
KITTANNING, PA
NPI
1104816073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP007840)
Enumeration Date
2005-10-24
Last Update Date
2007-07-16
Business Address
-- MARY M SHANNON CRNP
1 NOLTE DR
KITTANNING, PA 16201-7111
Phone number: 724-543-8536
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Mailing Address
-- MARY M SHANNON CRNP
3530 PEACH ST SUITE LL1
ERIE, PA 16508-2768
Phone number:
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