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1144711409
SHAVONNA RONISE ALEXANDER
RALEIGH, NC
NPI
1144711409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A6591)
Enumeration Date
2018-05-22
Last Update Date
2018-05-22
Business Address
SHAVONNA RONISE ALEXANDER
1828 MAYRIDGE LN
RALEIGH, NC 27610-6800
Phone number: 434-865-4060
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Mailing Address
SHAVONNA RONISE ALEXANDER
1828 MAYRIDGE LN
RALEIGH, NC 27610-6800
Phone number: 434-865-4060
Copy
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