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1487392171
GARY SHINE
NORFOLK, VA
NPI
1487392171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0200X Registered Nurse, Pediatrics
(Licence: VA 0001272766)
Enumeration Date
2022-05-24
Last Update Date
2022-05-24
Business Address
Mr. GARY SHINE RN
601 CHILDRENS LN
NORFOLK, VA 23507-1971
Phone number: 757-668-7315
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Mailing Address
Mr. GARY SHINE RN
1661 SPRING HOUSE TRL
VIRGINIA BEACH, VA 23455-7005
Phone number: 757-282-9621
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