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NPI Profile for SUSAN J SHANNON in CLYDE, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
163WC1500X |
| NPI # | 1619194727 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 04/19/2007 | |
| Last updated | 08/13/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SUSAN J SHANNON
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SUSAN J SHANNON, RN