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1053015727
SHANTAL JAYAWICKREME
DURHAM, NC
NPI
1053015727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
SHANTAL JAYAWICKREME MD
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-684-8111
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Mailing Address
SHANTAL JAYAWICKREME MD
117 BRIERY BRANCH CT
DURHAM, NC 27710-0001
Phone number: 919-684-8111
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