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1942438411
SHANNON L MCTIRE
SHREVEPORT, LA
NPI
1942438411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA AP05879)
Enumeration Date
2009-06-23
Last Update Date
2009-09-04
Business Address
-- SHANNON L MCTIRE NP
1500 LINE AVE SUITE 204
SHREVEPORT, LA 71101-4639
Phone number: 318-629-5001
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Mailing Address
-- SHANNON L MCTIRE NP
1500 LINE AVE SUITE 202
SHREVEPORT, LA 71101-4639
Phone number: 318-629-5505
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