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1922628411
BRANDON MATTHEW SHORE
CHAPEL HILL, NC
NPI
1922628411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC 261222)
Enumeration Date
2020-04-24
Last Update Date
2020-04-27
Business Address
BRANDON MATTHEW SHORE MD
102 MASON FARM RD
CHAPEL HILL, NC 27514-4617
Phone number: 984-974-4462
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Mailing Address
BRANDON MATTHEW SHORE MD
102 MASON FARM RD
CHAPEL HILL, NC 27514-4617
Phone number:
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