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1902386782
SHANNON CANTRICE THAIN
VIRGINIA BEACH, VA
NPI
1902386782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024176347)
Enumeration Date
2018-08-21
Last Update Date
2019-09-09
Business Address
Mrs. SHANNON CANTRICE THAIN FNP-BC
1168 FIRST COLONIAL RD STE 101
VIRGINIA BEACH, VA 23454-2444
Phone number: 757-481-2515
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Mailing Address
Mrs. SHANNON CANTRICE THAIN FNP-BC
PO BOX 7068
PORTSMOUTH, VA 23707-0068
Phone number: 757-481-2515
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