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1497204432
GWEN MARIE SHATTUCK
CHARLESTON, SC
NPI
1497204432
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Former Name
GWEN MARIE MAGLIOCCA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 20416)
Enumeration Date
2016-10-03
Last Update Date
2022-10-23
Business Address
GWEN MARIE SHATTUCK APRN, FNP-C
2085 HENRY TECKLENBURG DR 2ND FLOOR
CHARLESTON, SC 29414-7710
Phone number: 843-577-6957
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Mailing Address
GWEN MARIE SHATTUCK APRN, FNP-C
PO BOX 751874
CHARLOTTE, NC 28275-1874
Phone number: 843-402-5200
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