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1629578174
SHANNON LEIGH O'DONNELL
LOUISVILLE, KY
NPI
1629578174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3011662)
Enumeration Date
2018-02-20
Last Update Date
2020-10-27
Business Address
SHANNON LEIGH O'DONNELL APRN
4420 DIXIE HWY STE 114
LOUISVILLE, KY 40216
Phone number: 502-449-6464
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Mailing Address
SHANNON LEIGH O'DONNELL APRN
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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