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1558050559
SHANNON GRUBE
CHARLESTON, SC
NPI
1558050559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: SC 27122)
Enumeration Date
2023-05-04
Last Update Date
2023-05-04
Business Address
SHANNON GRUBE
25 COURTENAY DRIVE ASHELY RIVER TOWER SUITE 4200
CHARLESTON, SC 29425-0001
Phone number: 843-876-5744
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Mailing Address
SHANNON GRUBE
211 RIVER LANDING DR UNIT 156
DANIEL ISLAND, SC 29492-8566
Phone number:
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