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1962439745
LISA PETRONELLA SHOCK
RALEIGH, NC
NPI
1962439745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 102885)
Enumeration Date
2006-06-27
Last Update Date
2024-07-17
Business Address
LISA PETRONELLA SHOCK PA
4909 GREEN RD
RALEIGH, NC 27616-3418
Phone number: 919-790-0288
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Mailing Address
LISA PETRONELLA SHOCK PA
1929 KATELAND CT
APEX, NC 27502-6611
Phone number: 919-593-1557
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