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1366931552
SHANNON CLARK
LINCOLN, NE
NPI
1366931552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NE 78226)
Enumeration Date
2018-05-03
Last Update Date
2018-05-03
Business Address
SHANNON CLARK
8201 S 61ST ST
LINCOLN, NE 68516-5994
Phone number: 931-217-6445
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Mailing Address
SHANNON CLARK
8201 S 61ST ST
LINCOLN, NE 68516-5994
Phone number:
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