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1699248369
SHANTE GLEATON
COLUMBIA, SC
NPI
1699248369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 22257)
Enumeration Date
2019-01-06
Last Update Date
2023-10-23
Business Address
SHANTE GLEATON APRN
2571 FOREST DR
COLUMBIA, SC 29204-2029
Phone number: 803-610-4199
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Mailing Address
SHANTE GLEATON APRN
2571 FOREST DR
COLUMBIA, SC 29204-2029
Phone number: 803-610-4199
Copy
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