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Individual
MRS. SHANNON MORGAN MAYVILLE
Active
Individual
MRS. SHANNON MORGAN MAYVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
1480
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
A01383 ANP
AR
Other
Enumeration date
08/31/2006
Last updated
03/01/2012
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