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1457828899
SHANNON LEIGH MIMS
FORT MYERS, FL
NPI
1457828899
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Former Name
SHANNON LEIGH ORAMA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9363950)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
Mrs. SHANNON LEIGH MIMS
12670 WHITEHALL DR
FORT MYERS, FL 33907-3619
Phone number: 239-936-3554
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Mailing Address
Mrs. SHANNON LEIGH MIMS
19581 LANSHELL DRIVE
NORTH FORT MYERS, FL 33917
Phone number: 703-582-5630
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