Provider Information for 1841710803
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DAPHNE S SHULER-THURMAN LCAS-A
Sex: Female
NPI: 1841710803
Last Updated: 2023-06-22
Certification Date: 2023-06-22
Certification Date: 2023-06-22
Details
| Name | Value | ||||||||
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| NPI | 1841710803 | ||||||||
| Enumeration Date | 2017-06-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 804 MEDLO RD FAYETTEVILLE, NC 28303-2527 United States Phone: 910-578-5977 | Fax: | ||||||||
| Primary Practice Address | 804 MEDLO RD FAYETTEVILLE, NC 28303-2527 United States Phone: 910-578-5977 | Fax: | ||||||||
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