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1225360316
SHANNON CRAIG WHITE
RUSSELLVILLE, AL
NPI
1225360316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-124327)
Enumeration Date
2010-02-01
Last Update Date
2011-09-28
Business Address
Mr. SHANNON CRAIG WHITE Nurse Practitioner
318 COFFEE AVE NE
RUSSELLVILLE, AL 35653-2331
Phone number: 256-332-1629
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Mailing Address
Mr. SHANNON CRAIG WHITE Nurse Practitioner
318 COFFEE AVE NE
RUSSELLVILLE, AL 35653-2331
Phone number: 256-332-1629
Copy
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