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1265011076
SHANNON ELIZABETH BORASKI
CHARLOTTE, NC
NPI
1265011076
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Former Name
SHANNON ELIZABETH LANE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5014343)
Enumeration Date
2021-04-07
Last Update Date
2024-10-09
Business Address
SHANNON ELIZABETH BORASKI
2001 VAIL AVE
CHARLOTTE, NC 28207-1248
Phone number: 704-304-5000
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Mailing Address
SHANNON ELIZABETH BORASKI
6135 PARK SOUTH DR STE 510
CHARLOTTE, NC 28210-0100
Phone number: 704-749-3116
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