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1205818564
SHANNA GATES STOTER
WINSTON SALEM, NC
NPI
1205818564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 159591)
Enumeration Date
2005-11-14
Last Update Date
2015-04-28
Business Address
Mrs. SHANNA GATES STOTER CRNA
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-3069
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Mailing Address
Mrs. SHANNA GATES STOTER CRNA
2500 ROBINHOOD RD
WINSTON SALEM, NC 27106-5804
Phone number: 336-414-7469
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