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1538933221
SHANNON D CARLISLE
LAUREL, MD
NPI
1538933221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R217859)
Enumeration Date
2023-11-13
Last Update Date
2023-11-13
Business Address
SHANNON D CARLISLE
372 MAIN STREET
LAUREL, MD 20707
Phone number: 240-294-4079
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Mailing Address
SHANNON D CARLISLE
3019 BRODKIN AVE
FORT WASHINGTON, MD 20744-2306
Phone number:
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