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1528467669
SHANNON MOEGGENBORG
TRAVERSE CITY, MI
NPI
1528467669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704265833)
Enumeration Date
2014-08-14
Last Update Date
2023-07-26
Business Address
SHANNON MOEGGENBORG APRN, FNP-C
1105 SIXTH ST
TRAVERSE CITY, MI 49684-2349
Phone number: 231-947-0673
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Mailing Address
SHANNON MOEGGENBORG APRN, FNP-C
4624 N SPIDER LAKE RD
TRAVERSE CITY, MI 49696-8440
Phone number: 231-947-0673
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