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1255063285
SHANNON MUNGOVAN
COLORADO SPRINGS, CO
NPI
1255063285
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Former Name
SHANNON O'GORMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner Women's Health
(Licence: CO APN.0999062-NP)
Enumeration Date
2022-06-28
Last Update Date
2023-11-29
Business Address
SHANNON MUNGOVAN WHNP-BC
2997 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO 80906-4405
Phone number: 719-355-7333
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Mailing Address
SHANNON MUNGOVAN WHNP-BC
3032 WILSON CT UNIT 3
DENVER, CO 80205-4924
Phone number: 203-733-8331
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