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1386105286
DESHANNON DANIELS
STATESVILLE, NC
NPI
1386105286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NC 72506)
Enumeration Date
2019-03-26
Last Update Date
2019-03-26
Business Address
DESHANNON DANIELS
524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625-4391
Phone number: 704-871-9605
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Mailing Address
DESHANNON DANIELS
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1833
Phone number: 704-939-1100
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