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1245964782
SHANNON MCKENZEE RUSSELL
NORFOLK, VA
NPI
1245964782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: VA 0024184645)
Enumeration Date
2022-07-11
Last Update Date
2022-11-30
Business Address
SHANNON MCKENZEE RUSSELL NP
6333 CENTER DR # 16
NORFOLK, VA 23502-4126
Phone number: 757-252-9500
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Mailing Address
SHANNON MCKENZEE RUSSELL NP
6333 CENTER DR BLDG 16
NORFOLK, VA 23502-4126
Phone number: 757-252-9500
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