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1588811152
SHANNON MARIE GORMAN
SYRACUSE, NY
NPI
1588811152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 275256)
Enumeration Date
2008-08-26
Last Update Date
2022-12-15
Business Address
SHANNON MARIE GORMAN LPN
813 FAY RD
SYRACUSE, NY 13219-3009
Phone number: 315-488-2831
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Mailing Address
SHANNON MARIE GORMAN LPN
813 FAY RD
SYRACUSE, NY 13219-3009
Phone number: 315-488-2831
Copy
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