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1669446126
TAMARA JEAN SHANNON
ALBUQUERQUE, NM
NPI
1669446126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NM CNP-01796)
Enumeration Date
2006-02-13
Last Update Date
2023-06-22
Business Address
TAMARA JEAN SHANNON CPNP
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106-2719
Phone number: 505-272-1221
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Mailing Address
TAMARA JEAN SHANNON CPNP
5540 TIMBERFALLS RD NW
ALBUQUERQUE, NM 87114-0594
Phone number: 505-818-7958
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