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1053014118
RUDRA SHAH
GREENSBORO, NC
NPI
1053014118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: NC 5017865)
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
RUDRA SHAH
1046 E WENDOVER AVE
GREENSBORO, NC 27405-6712
Phone number: 336-272-1050
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Mailing Address
RUDRA SHAH
1206 SOUTHPOINT TRL
DURHAM, NC 27713-6755
Phone number:
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