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1912725110
SHASSITY STEVENSON
CHARLOTTE, NC
NPI
1912725110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: NC 335E00000X)
Enumeration Date
2024-09-27
Last Update Date
2024-09-27
Business Address
SHASSITY STEVENSON
8500 PINEVILLE MATTHEWS RD STE M
CHARLOTTE, NC 28226-4714
Phone number: 225-333-6836
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Mailing Address
SHASSITY STEVENSON
8334 PINEVILLE MATTHEWS RD STE 103-272
CHARLOTTE, NC 28226-3774
Phone number:
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