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1750868568
SHANNON E SITGREAVES
FORT WAYNE, IN
NPI
1750868568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IN 28186082A)
Enumeration Date
2018-07-24
Last Update Date
2020-03-24
Business Address
SHANNON E SITGREAVES AGNP
3512 STELLHORN RD
FORT WAYNE, IN 46815-4631
Phone number: 260-483-9081
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Mailing Address
SHANNON E SITGREAVES AGNP
PO BOX 392552
PITTSBURGH, PA 15251-9552
Phone number: 512-575-8028
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