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1750957239
SHANNON JEFFERY HEATON
ASHEBORO, NC
NPI
1750957239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5014494)
Enumeration Date
2021-06-03
Last Update Date
2021-06-03
Business Address
Dr. SHANNON JEFFERY HEATON
350 N COX ST STE 28
ASHEBORO, NC 27203-5514
Phone number: 336-792-4062
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Mailing Address
Dr. SHANNON JEFFERY HEATON
1826 SUNSET BELT
ROCKINGHAM, NC 28379-2743
Phone number: 910-995-4259
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