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1962258004
SHAWNICE ODETTA GRAYBILL
EL DORADO HILLS, CA
NPI
1962258004
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Former Name
SHAWNICE ODETTA HENRY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA F04240329)
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
SHAWNICE ODETTA GRAYBILL
8105 SARATOGA WAY SUITE 240
EL DORADO HILLS, CA 95762
Phone number: 919-495-3253
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Mailing Address
SHAWNICE ODETTA GRAYBILL
8105 SARATOGA WAY SUITE 240
EL DORADO HILLS, CA 95762
Phone number: 919-495-3253
Copy
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