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1568505451
SHANNON COLVIN
SYRACUSE, NY
NPI
1568505451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: NY 350121)
Enumeration Date
2007-02-14
Last Update Date
2013-07-18
Business Address
-- SHANNON COLVIN NP
301 PROSPECT AVE NICU
SYRACUSE, NY 13203-1807
Phone number: 315-448-5111
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Mailing Address
-- SHANNON COLVIN NP
104 UNION AVE SUITE 804
SYRACUSE, NY 13203-1843
Phone number: 315-703-5049
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