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1790187961
ROBERT BRAXTON SHANE BENTLEY
CHARLOTTE, NC
NPI
1790187961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 24579)
Enumeration Date
2014-09-19
Last Update Date
2021-01-29
Business Address
ROBERT BRAXTON SHANE BENTLEY
10508 PARK RD STE 130
CHARLOTTE, NC 28210-8526
Phone number: 704-208-4134
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Mailing Address
ROBERT BRAXTON SHANE BENTLEY
7410 QUILBRAY DR
HUNTERSVILLE, NC 28078-7826
Phone number: 229-726-0641
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