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1649339342
SHANNON MCCALLUM
DETROIT, MI
NPI
1649339342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MI 4704131498)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
-- SHANNON MCCALLUM N.P.
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-8777
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Mailing Address
-- SHANNON MCCALLUM N.P.
21532 SABRINA DR
MACOMB, MI 48044-1321
Phone number: 586-949-0102
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