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1831922392
SHANE M WISE
BETHESDA, MD
NPI
1831922392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
Dr. SHANE M WISE PhD
4833 BETHESDA AVE STE 300
BETHESDA, MD 20814-5244
Phone number: 202-234-0903
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Mailing Address
Dr. SHANE M WISE PhD
4833 BETHESDA AVE STE 300
BETHESDA, MD 20814-5244
Phone number:
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