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Individual

DEVIN SHANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7160
Mailing address
6070 FRY RD, BROOKPARK, OH 44142-2725
(419) 551-8512

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0030979
OH

Other

Enumeration date
03/14/2022
Last updated
03/14/2022
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