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Organization
SHANNON WOUND CARE CONSULTANTS LLC
Active
Organization
SHANNON WOUND CARE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY MCVAUGH SHANNON (PRESIDENT)
(724) 355-3060
Entity
Organization
Contact information
Practice address
318 CONERTY RD, CHICORA, PA 16025-1820
(724) 355-3060
Mailing address
318 CONERTY RD, CHICORA, PA 16025-1820
(724) 355-3060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP007840
PA
Other
Enumeration date
05/17/2009
Last updated
07/11/2009
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