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1457543365
JUDY ANN SHIVES
WINSTON SALEM, NC
NPI
1457543365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NC 122798)
Enumeration Date
2007-08-14
Last Update Date
2007-08-14
Business Address
MS. JUDY ANN SHIVES NP-C
1100 REYNOLDS BLVD
WINSTON SALEM, NC 27105-3400
Phone number: 336-896-4475
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Mailing Address
MS. JUDY ANN SHIVES NP-C
1100 REYNOLDS BLVD
WINSTON SALEM, NC 27105-3400
Phone number: 336-896-4475
Copy
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