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1689492076
SHAUN GAINES
CHARLOTTE, NC
NPI
1689492076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: NC DURHQTJHFR091029)
Enumeration Date
2024-10-02
Last Update Date
2024-10-02
Business Address
SHAUN GAINES
416 MCCULLOUGH DR STE 210
CHARLOTTE, NC 28262-4393
Phone number: 919-806-6365
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Mailing Address
SHAUN GAINES
416 MCCULLOUGH DR STE 210
CHARLOTTE, NC 28262-4393
Phone number: 919-806-6365
Copy
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