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1407150543
JUDY DENISE SHACKETT
WINSTON SALEM, NC
NPI
1407150543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NC 155993)
Enumeration Date
2011-01-04
Last Update Date
2011-01-04
Business Address
Mrs. JUDY DENISE SHACKETT
3667 SIGNET DR
WINSTON SALEM, NC 27101-2263
Phone number: 339-725-3888
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Mailing Address
Mrs. JUDY DENISE SHACKETT
3667 SIGNET DR
WINSTON SALEM, NC 27101-2263
Phone number: 339-725-3888
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