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1174219638
CHAVONNE NAKIA SHAW
FAYETTEVILLE, NC
NPI
1174219638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5017965)
Enumeration Date
2023-04-17
Last Update Date
2023-04-17
Business Address
CHAVONNE NAKIA SHAW
1357 WALTER REED RD STE 101
FAYETTEVILLE, NC 28304-4417
Phone number: 910-984-8311
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Mailing Address
CHAVONNE NAKIA SHAW
537 BELLGROVE DR
HOPE MILLS, NC 28348-2795
Phone number: 843-425-4507
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