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1689929747
SHANNON J BAXTER
SYRACUSE, NY
NPI
1689929747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 305023-1)
Enumeration Date
2012-07-16
Last Update Date
2012-07-16
Business Address
-- SHANNON J BAXTER LPN
723 HICKORY ST
SYRACUSE, NY 13203-1938
Phone number: 315-432-5636
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Mailing Address
-- SHANNON J BAXTER LPN
723 HICKORY ST
SYRACUSE, NY 13203-1938
Phone number: 315-432-5636
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