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1134675267
SHANNON L TRANQUILL
FORT WAYNE, IN
NPI
1134675267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71006691)
Enumeration Date
2016-08-29
Last Update Date
2022-10-03
Business Address
SHANNON L TRANQUILL
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-2500
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Mailing Address
SHANNON L TRANQUILL
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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