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1629653670
SHANNON MAYHEW WAGGONER
STATESVILLE, NC
NPI
1629653670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NC 5014171)
Enumeration Date
2021-03-11
Last Update Date
2023-08-10
Business Address
SHANNON MAYHEW WAGGONER FNP-C
702 HARTNESS RD
STATESVILLE, NC 28677-3425
Phone number: 704-871-9818
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Mailing Address
SHANNON MAYHEW WAGGONER FNP-C
PO BOX 1845
STATESVILLE, NC 28687-1845
Phone number: 704-873-4277
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