SHANNON MICHELE GAVIN, MSN, RN, FNP-BC
Nursing at Indiana Ave, Porter, IN

License number
Indiana 2010007825
Category
Nursing
Type
Family
Address
Address 2
407 W Indiana Ave, Porter, IN 46304
PO Box 1430, Portage, IN 46368
Phone
(219) 763-8112
(219) 764-5384 (Fax)
(219) 764-3251
National Provider ID: 1801199070
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Shannon Gavin, age 40
453 N 400 E, Valparaiso, IN 46383
Shannon M Gavin, age 40
595 3Rd St, Chesterton, IN 46304
(219) 926-8111
Shannon Gavin
321 Wren Ct, Chesterton, IN 46304
(219) 926-5404
(219) 929-4636

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