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1164159091
CHERYL LYNN SHANNON
CORVALLIS, OR
NPI
1164159091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OR 202211114NP-PP)
Enumeration Date
2022-08-02
Last Update Date
2022-12-22
Business Address
CHERYL LYNN SHANNON Nurse Practitioner
3615 NW SAMARITAN DR STE 201
CORVALLIS, OR 97330-3771
Phone number: 541-768-5930
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Mailing Address
CHERYL LYNN SHANNON Nurse Practitioner
PO BOX 1189
CORVALLIS, OR 97339-1189
Phone number:
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