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1306395777
SHANNON SMITH
WACO, TX
NPI
1306395777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP131973)
Enumeration Date
2016-09-27
Last Update Date
2022-10-04
Business Address
SHANNON SMITH NP-C
2304 MARKETPLACE DR
WACO, TX 76711-2467
Phone number: 254-202-7300
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Mailing Address
SHANNON SMITH NP-C
PO BOX 848476
DALLAS, TX 75284-8476
Phone number: 254-202-4655
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