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Shannon Gautier
NPI 1053945717 · on the registry since 2020
Practice
- Address
- 209 Huntington Hill Dr
Clinton, MS 39056 - Phone
- (601) 259-8003
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi