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1447522529
SHANNON WIRTH
OAKLAND, CA
NPI
1447522529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 21560)
Enumeration Date
2012-02-03
Last Update Date
2012-02-03
Business Address
-- SHANNON WIRTH FNP
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601-2228
Phone number: 510-535-4400
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Mailing Address
-- SHANNON WIRTH FNP
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601-2228
Phone number: 510-535-4400
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