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1407116544
KELLY SHANNON PARADISE
LAKE CITY, FL
NPI
1407116544
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Former Name
SHANNON P STARLING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9191569)
Enumeration Date
2012-05-23
Last Update Date
2012-07-10
Business Address
-- KELLY SHANNON PARADISE ARNP
2806 W US HIGHWAY 90 SUITE 102
LAKE CITY, FL 32055-4745
Phone number: 386-438-8391
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Mailing Address
-- KELLY SHANNON PARADISE ARNP
2806 W US HIGHWAY 90 SUITE 102
LAKE CITY, FL 32055-4745
Phone number: 386-438-8391
Copy
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