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1427742774
SHANNON L HARRELL
LAKE PARK, GA
NPI
1427742774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN281854)
Enumeration Date
2023-06-07
Last Update Date
2023-06-07
Business Address
Mrs. SHANNON L HARRELL NP
4893 HAMMER LN
LAKE PARK, GA 31636-3090
Phone number: 229-560-8758
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Mailing Address
Mrs. SHANNON L HARRELL NP
4893 HAMMER LN
LAKE PARK, GA 31636-3090
Phone number: 229-560-8758
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