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1316354608
SHANNON BAXTER
WINONA LAKE, IN
NPI
1316354608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: IN 09000246A)
Enumeration Date
2014-07-17
Last Update Date
2014-07-17
Business Address
SHANNON BAXTER CNM
845 S 250 E
WINONA LAKE, IN 46590-5700
Phone number: 574-265-8382
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Mailing Address
SHANNON BAXTER CNM
845 S 250 E
WINONA LAKE, IN 46590-5700
Phone number: 574-265-8382
Copy