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1861278962
SHANNON LEIGH GRAVES
RALEIGH, NC
NPI
1861278962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC GRAV-W91JR)
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
SHANNON LEIGH GRAVES
8304 CREEDMOOR RD
RALEIGH, NC 27613-1697
Phone number: 919-870-8409
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Mailing Address
SHANNON LEIGH GRAVES
2620 MANOR STONE WAY
INDIAN TRAIL, NC 28079-8899
Phone number: 607-341-0159
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