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1700308806
VAKESHEA SHANNON
TUPELO, MS
NPI
1700308806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 902133)
Enumeration Date
2017-07-10
Last Update Date
2024-03-04
Business Address
VAKESHEA SHANNON NP
4381 S EASON BLVD STE 302
TUPELO, MS 38801-6584
Phone number: 662-377-5700
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Mailing Address
VAKESHEA SHANNON NP
4381 S EASON BLVD STE 302
TUPELO, MS 38801-6584
Phone number: 662-377-5700
Copy
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