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1912427188
SHANNON C BORMANN
LAFAYETTE, IN
NPI
1912427188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IN 28199577A)
Enumeration Date
2017-06-20
Last Update Date
2024-11-13
Business Address
SHANNON C BORMANN CRNA
2600 GREENBUSH ST
LAFAYETTE, IN 47904-2477
Phone number: 765-448-8000
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Mailing Address
SHANNON C BORMANN CRNA
PO BOX 5545
LAFAYETTE, IN 47903-5545
Phone number: 765-448-8000
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