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1235591413
SHANNON WOLFINBARGER
PINE RIDGE, SD
NPI
1235591413
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Former Name
SHANNON THORNBRUGH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
Enumeration Date
2016-03-25
Last Update Date
2022-05-19
Business Address
SHANNON WOLFINBARGER CNM
1201 E. HWY 18
PINE RIDGE, SD 57770
Phone number: 605-867-3003
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Mailing Address
SHANNON WOLFINBARGER CNM
PO BOX 1407
PINE RIDGE, SD 57770-1407
Phone number: 909-991-6062
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