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1962825034
SHANTELLA EVETTE THOM
GREENVILLE, NC
NPI
1962825034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 100037)
Enumeration Date
2014-01-27
Last Update Date
2015-12-17
Business Address
Mrs. SHANTELLA EVETTE THOM
2485 HEMBY LN
GREENVILLE, NC 27834-3701
Phone number: 888-549-1922
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Mailing Address
Mrs. SHANTELLA EVETTE THOM
6361 DAY LILLY LN
CHARLOTTE, NC 28216-8839
Phone number: 704-771-0522
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