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Individual
SHANNON E PEARCE
Active
Individual
SHANNON E PEARCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP,GNP,C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
669883
TX
363LG0600X
Gerontology Nurse Practitioner
669883
TX
Other
Enumeration date
05/16/2006
Last updated
01/12/2011
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