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1225111651
SHANNON FOURTNER
BATAVIA, NY
NPI
1225111651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0205X Pediatrics Pediatric Endocrinology
(Licence: NY 236427)
Enumeration Date
2006-10-21
Last Update Date
2024-10-10
Business Address
SHANNON FOURTNER MD
5762 E MAIN STREET RD STE B
BATAVIA, NY 14020-9621
Phone number: 585-201-7112
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Mailing Address
SHANNON FOURTNER MD
5762 E MAIN STREET RD STE B
BATAVIA, NY 14020-9621
Phone number: 585-201-7112
Copy
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