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1063176527
THATSHANA THAYANANTHARAJAH
GREENVILLE, NC
NPI
1063176527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC RTL21-1115)
Enumeration Date
2021-10-29
Last Update Date
2021-10-29
Business Address
Dr. THATSHANA THAYANANTHARAJAH MD
521 MOYE BLVD
GREENVILLE, NC 27834-2849
Phone number: 252-744-3992
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Mailing Address
Dr. THATSHANA THAYANANTHARAJAH MD
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-744-3229
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