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1104807957
JENNIFER SHATTUCK
FAYETTEVILLE, NC
NPI
1104807957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 153737)
Enumeration Date
2005-11-09
Last Update Date
2008-02-14
Business Address
Miss JENNIFER SHATTUCK CRNA
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-609-6440
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Mailing Address
Miss JENNIFER SHATTUCK CRNA
PO BOX 40908
FAYETTEVILLE, NC 28309-0908
Phone number: 910-609-6448
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