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1689170375
SHINY SAMUEL
CARY, NC
NPI
1689170375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NC 5010430)
Enumeration Date
2018-04-02
Last Update Date
2018-04-02
Business Address
SHINY SAMUEL NP
550 NEW WAVERLY PL STE 105
CARY, NC 27518-7412
Phone number: 919-233-2022
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Mailing Address
SHINY SAMUEL NP
101 DEER ISLE CT
CARY, NC 27519-6465
Phone number: 919-946-4059
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