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1942760210
SHANNON CHRISTIAN BURT
SOUTHAVEN, MS
NPI
1942760210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 903161)
Enumeration Date
2019-03-22
Last Update Date
2024-07-24
Business Address
SHANNON CHRISTIAN BURT FNP-C
401 SOUTHCREST CIR STE 212
SOUTHAVEN, MS 38671-6721
Phone number: 662-245-5270
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Mailing Address
SHANNON CHRISTIAN BURT FNP-C
PO BOX 1089
HAMMOND, LA 70404-1089
Phone number: 985-892-7070
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