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1225158983
SHANNON LIST
HYANNIS, MA
NPI
1225158983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MA 210330)
Enumeration Date
2007-03-29
Last Update Date
2010-04-28
Business Address
-- SHANNON LIST N.P.
25 MAIN ST
HYANNIS, MA 02601-3129
Phone number: 508-778-1829
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Mailing Address
-- SHANNON LIST N.P.
25 MAIN ST
HYANNIS, MA 02601-3129
Phone number: 508-778-1829
Copy
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