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1457407108
SHAW LEE LEGGETT
RALEIGH, NC
NPI
1457407108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 152839)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
-- SHAW LEE LEGGETT CRNA
4420 LAKE BOONE TRL
RALEIGH, NC 27607-7505
Phone number: 919-784-3034
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Mailing Address
-- SHAW LEE LEGGETT CRNA
PO BOX 18139
RALEIGH, NC 27619-8139
Phone number:
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