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1619469806
SHIBU EDWARD
DURHAM, NC
NPI
1619469806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5010563)
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
SHIBU EDWARD MSN-AGNP-C
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-613-6133
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Mailing Address
SHIBU EDWARD MSN-AGNP-C
1921 GRACE POINT RD
MORRISVILLE, NC 27560-6676
Phone number: 919-477-2937
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