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1437870003
SHAWN M COTHRAN
WAKE FOREST, NC
NPI
1437870003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2022-09-12
Last Update Date
2022-09-12
Business Address
SHAWN M COTHRAN
120 CAPCOM AVE STE 103
WAKE FOREST, NC 27587-6537
Phone number: 919-554-2223
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Mailing Address
SHAWN M COTHRAN
120 CAPCOM AVE STE 103
WAKE FOREST, NC 27587-6537
Phone number: 919-554-2223
Copy
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