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Individual

MICHAEL SHAYNE THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4560 MERRIWEATHER CT, WINSTON SALEM, NC 27107-6428
(336) 602-7611
Mailing address
4560 MERRIWEATHER CT, WINSTON SALEM, NC 27107-6428
(336) 602-7611

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NC

Other

Enumeration date
06/28/2023
Last updated
06/28/2023
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