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1659034064
SHANDA BISHOP
DAPHNE, AL
NPI
1659034064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO C-APN.0003344-C-NP)
Enumeration Date
2021-10-21
Last Update Date
2021-10-21
Business Address
SHANDA BISHOP
29658 DOUGLAS RD
DAPHNE, AL 36526-9533
Phone number: 251-895-3066
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Mailing Address
SHANDA BISHOP
7900 E UNION AVE STE 1100
DENVER, CO 80237-2746
Phone number: 212-369-6757
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