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1285124727
SHANTELLE M BURRESS
GRANGER, IN
NPI
1285124727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71007967A)
Enumeration Date
2018-05-10
Last Update Date
2018-05-10
Business Address
SHANTELLE M BURRESS NP
130 E CLEVELAND RD
GRANGER, IN 46530-5620
Phone number: 574-247-2221
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Mailing Address
SHANTELLE M BURRESS NP
51100 OAK LINED DR
GRANGER, IN 46530-7531
Phone number: 810-701-6599
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