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1508875394
WALTER DANIEL SHANNON
KINSTON, NC
NPI
1508875394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NC 200301170)
Enumeration Date
2006-08-08
Last Update Date
2009-10-19
Business Address
MR. WALTER DANIEL SHANNON M.D.
1305 NORTH QUEEN STREET
KINSTON, NC 28501-1581
Phone number: 252-523-2781
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Mailing Address
MR. WALTER DANIEL SHANNON M.D.
1305 NORTH QUEEN STREET
KINSTON, NC 28501-1581
Phone number: 252-523-2781
Copy
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