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1114430162
SHANNON BENTHAM
ROCHESTER, NY
NPI
1114430162
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Former Name
SHANNON WHITE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F342300-1)
Enumeration Date
2017-11-13
Last Update Date
2023-01-18
Business Address
SHANNON BENTHAM NP
1555 LONG POND RD
ROCHESTER, NY 14626-4122
Phone number: 585-723-7541
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Mailing Address
SHANNON BENTHAM NP
1555 LONG POND RD
ROCHESTER, NY 14626-4122
Phone number: 585-723-7541
Copy
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