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1629344981
SHANNON L WILSON
EAST STROUDSBURG, PA
NPI
1629344981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: PA MW010264)
Enumeration Date
2012-03-30
Last Update Date
2012-03-30
Business Address
-- SHANNON L WILSON CNM
175 E BROWN ST SUITE 113
EAST STROUDSBURG, PA 18301-3098
Phone number: 570-421-3401
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Mailing Address
-- SHANNON L WILSON CNM
206 E BROWN ST POCONO HEALTHCARE MANAGEMENT
EAST STROUDSBURG, PA 18301-3006
Phone number: 570-420-4951
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