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1245696228
SHANNON PHILLIPS
SAINT LOUIS, MO
NPI
1245696228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MO 2015043774)
Enumeration Date
2016-01-06
Last Update Date
2021-02-24
Business Address
SHANNON PHILLIPS APRN
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6339
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Mailing Address
SHANNON PHILLIPS APRN
621 S NEW BALLAS RD STE 112A
SAINT LOUIS, MO 63141-8252
Phone number: 314-251-6339
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