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1598283293
SHANE LEONARD
DURHAM, NC
NPI
1598283293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 119050)
Enumeration Date
2017-09-01
Last Update Date
2017-09-01
Business Address
SHANE LEONARD
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-668-0289
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Mailing Address
SHANE LEONARD
1107 BRICEWOOD LN
CEDAR GROVE, NC 27231-9007
Phone number: 919-525-4499
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