SHANNAN K. DUFAULT

MOUNT PLEASANT, SC
NPI1275641144
Former NameSHANNON K. TOOLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: SC  2139)
Enumeration Date2006-08-29
Last Update Date2019-11-18
Business Address
Mrs. SHANNAN K. DUFAULT NPN
1952 LONG GROVE DR STE 202
MOUNT PLEASANT, SC 29464-7579
Phone number: 843-971-2992
Mailing Address
Mrs. SHANNAN K. DUFAULT NPN
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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