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1962001818
SHANNON NICOLE MARTIN
CUMBERLAND, MD
NPI
1962001818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R214768)
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
SHANNON NICOLE MARTIN
924 SETON DR # C
CUMBERLAND, MD 21502-1851
Phone number: 301-797-7600
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Mailing Address
SHANNON NICOLE MARTIN
244 BLACKISTON AVE
CUMBERLAND, MD 21502-4304
Phone number: 301-268-5594
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