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Individual

SHANNON LESLEE MCKAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9415017
FL

Other

Enumeration date
02/11/2020
Last updated
02/11/2020
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