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1154717817
SHANNON L KUNTZ
LINCOLN, NE
NPI
1154717817
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Former Name
SHANNON L STOCK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NE 48629)
Enumeration Date
2015-04-09
Last Update Date
2015-04-09
Business Address
-- SHANNON L KUNTZ
2300 S 16TH ST
LINCOLN, NE 68502-3704
Phone number: 402-475-1011
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Mailing Address
-- SHANNON L KUNTZ
3200 PINE LAKE RD SUITE A
LINCOLN, NE 68516-6035
Phone number: 402-421-1811
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