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1265456974
SHANE S SMITH-GANGI
STATESVILLE, NC
NPI
1265456974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 300078)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- SHANE S SMITH-GANGI NP
129 SHERLOCK DR
STATESVILLE, NC 28625-1916
Phone number: 704-838-8245
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Mailing Address
-- SHANE S SMITH-GANGI NP
650 SIGNAL HILL DRIVE EXT PO BOX 1845
STATESVILLE, NC 28625-4353
Phone number: 704-873-4277
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