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Organization

LACED BY SHEA INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHEA FELDER COSMETOLOGIST (SALON OWNER)
(704) 960-7003
Entity
Organization

Contact information

Practice address
9949 E INDEPENDENCE BLVD # 20, MATTHEWS, NC 28105-4665
(704) 960-7003
Mailing address
11433 CALLAHAN MILL DR, CHARLOTTE, NC 28213-5884
(704) 960-7003

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
05/18/2021
Last updated
05/18/2021
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