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1366047896
SHANNON MARIE BEAGAN
DETROIT, MI
NPI
1366047896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704274132)
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
Miss SHANNON MARIE BEAGAN
4100 JOHN R ST
DETROIT, MI 48201-2013
Phone number: 313-576-9213
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Mailing Address
Miss SHANNON MARIE BEAGAN
16721 PHILOMENE BLVD
ALLEN PARK, MI 48101-2419
Phone number: 313-289-1478
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