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1598036964
SHANNON SMITH
PORTLAND, ME
NPI
1598036964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ME RNA93051)
Enumeration Date
2012-01-18
Last Update Date
2015-02-02
Business Address
-- SHANNON SMITH CRNA
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-4562
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Mailing Address
-- SHANNON SMITH CRNA
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-4562
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