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1356561740
SHANNON MICHELLE SHEATS
MEDFORD, OR
NPI
1356561740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 201909972NP-PP)
Enumeration Date
2007-04-26
Last Update Date
2022-02-10
Business Address
SHANNON MICHELLE SHEATS NP
328 S CENTRAL AVE STE 101
MEDFORD, OR 97501-7274
Phone number: 541-500-8195
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Mailing Address
SHANNON MICHELLE SHEATS NP
328 S CENTRAL AVE STE 101
MEDFORD, OR 97501-7274
Phone number: 541-500-8195
Copy
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