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1689168460
SUPRIYA A SHAH
GREENVILLE, SC
NPI
1689168460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: SC LL52600)
Enumeration Date
2018-06-15
Last Update Date
2018-06-15
Business Address
SUPRIYA A SHAH MD
877 W FARIS RD
GREENVILLE, SC 29605-4289
Phone number: 864-455-9022
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Mailing Address
SUPRIYA A SHAH MD
877 W FARIS RD
GREENVILLE, SC 29605-4289
Phone number: 864-455-9022
Copy
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