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1760677850
RENEA WALL SHORE
WINSTON SALEM, NC
NPI
1760677850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 133582)
Enumeration Date
2007-09-11
Last Update Date
2007-09-11
Business Address
-- RENEA WALL SHORE CRNA
145 KIMEL PARK DR SUITE 300
WINSTON SALEM, NC 27103-6984
Phone number: 336-768-3212
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Mailing Address
-- RENEA WALL SHORE CRNA
145 KIMEL PARK DR SUITE 300
WINSTON SALEM, NC 27103-6984
Phone number: 336-768-3212
Copy
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