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1093754111
SANDRA L. SCALLY
CHARLOTTE, NC
NPI
1093754111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 027908)
Enumeration Date
2006-06-05
Last Update Date
2013-04-01
Business Address
-- SANDRA L. SCALLY CRNA
200 HAWTHORNE LN
CHARLOTTE, NC 28204-2515
Phone number: 704-384-4239
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Mailing Address
-- SANDRA L. SCALLY CRNA
PO BOX 601549
CHARLOTTE, NC 28260-1549
Phone number: 704-384-4239
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