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1922545698
AMANDA SHRUM
CHARLOTTE, NC
NPI
1922545698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5013026)
Enumeration Date
2017-01-19
Last Update Date
2021-03-01
Business Address
AMANDA SHRUM
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262-9785
Phone number: 704-547-9739
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Mailing Address
AMANDA SHRUM
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262-9785
Phone number: 704-547-9739
Copy
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