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1356086748
SHAUNA WISE
PRINCETON, WV
NPI
1356086748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024184185)
Enumeration Date
2022-05-01
Last Update Date
2022-05-01
Business Address
SHAUNA WISE
156 THISTLE ST
PRINCETON, WV 24739-5926
Phone number: 304-952-0302
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Mailing Address
SHAUNA WISE
156 THISTLE ST
PRINCETON, WV 24739-5926
Phone number: 304-952-0302
Copy
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