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Individual

ANDRE SCOTT CANIPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSA

Contact information

Practice address
1829 E MARION ST, APT. 809, SHELBY, NC 28152-6264
(704) 477-0423
Mailing address
1829 E MARION ST, APT. 809, SHELBY, NC 28152-6264
(704) 477-0423

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3810
NC

Other

Enumeration date
12/01/2011
Last updated
06/21/2015
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