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1235788423
SHANNON MIRYAH PARKER
LANSING, MI
NPI
1235788423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703103951)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
SHANNON MIRYAH PARKER
820 KENWOOD AVE
LANSING, MI 48910-3210
Phone number: 248-212-5607
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Mailing Address
SHANNON MIRYAH PARKER
820 KENWOOD AVE
LANSING, MI 48910-3210
Phone number:
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