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1316616865
SHANNON MCDERMOTT
LIVERPOOL, NY
NPI
1316616865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F348156)
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
SHANNON MCDERMOTT NP-C
5100 W TAFT RD
LIVERPOOL, NY 13088-3807
Phone number: 315-452-2828
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Mailing Address
SHANNON MCDERMOTT NP-C
8813 MADELEINE DR
BALDWINSVILLE, NY 13027-8917
Phone number: 315-247-4498
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