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Individual

SHANNON B NESBITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20074 STRASBURG, DETROIT, MI 48205
(586) 457-5247
Mailing address
20074 STRASBURG ST, DETROIT, MI 48205-1025

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703117345
MI

Other

Enumeration date
06/13/2017
Last updated
06/13/2017
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