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1558603977
SHANNON PAIGE WISE
ALEXANDRIA, VA
NPI
1558603977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: VA 0024170771)
Enumeration Date
2013-03-24
Last Update Date
2016-01-15
Business Address
Mrs. SHANNON PAIGE WISE CNM
4660 KENMORE AVE STE 902
ALEXANDRIA, VA 22304-1306
Phone number: 703-370-4300
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Mailing Address
Mrs. SHANNON PAIGE WISE CNM
4660 KENMORE AVE STE 902
ALEXANDRIA, VA 22304-1306
Phone number: 703-370-4300
Copy
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