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1144861840
SHANTINA JENAE CASSIDY
GREENSBORO, NC
NPI
1144861840
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Former Name
SHANTINA JENAE THOMAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC F08190124)
Enumeration Date
2019-10-03
Last Update Date
2024-05-30
Business Address
Mrs. SHANTINA JENAE CASSIDY FNP-C
1101 CAROLINA STREET
GREENSBORO, NC 27401-1318
Phone number: 336-333-6860
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Mailing Address
Mrs. SHANTINA JENAE CASSIDY FNP-C
1101 CAROLINA STREET
GREENSBORO, NC 27401
Phone number: 336-333-6860
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