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1518588904
SHANNON ALFONSO
SALEM, OR
NPI
1518588904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202002775NP-PP)
Enumeration Date
2020-04-27
Last Update Date
2020-04-27
Business Address
SHANNON ALFONSO DNP, FNP-C
1015 25TH ST SE
SALEM, OR 97301-5049
Phone number: 971-930-4318
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Mailing Address
SHANNON ALFONSO DNP, FNP-C
15569 SW WREN LN
BEAVERTON, OR 97007-9274
Phone number:
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