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1992391320
TRACY SHANNON
JERSEY CITY, NJ
NPI
1992391320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 345858)
Enumeration Date
2020-12-20
Last Update Date
2021-07-02
Business Address
TRACY SHANNON
75 MONTGOMERY ST FL 603
JERSEY CITY, NJ 07302-3726
Phone number: 201-433-1955
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Mailing Address
TRACY SHANNON
75 MONTGOMERY ST FL 603
JERSEY CITY, NJ 07302-3726
Phone number: 201-433-1955
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