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Licensee Information

Shukufa Abdul Wahab Mansouri - PA
0010-16599
Active
No
05/21/2026
05/29/2027

Active Supervisor

NameTypeStatusApprovedInactive
True, Nicholas Alan, MD MD Active 05/26/2026

North Carolina Hospital Admitting Privileges

Location
Granville Medical Center

Out of State Active/Inactive Licenses

State
Georgia
Texas
Virginia

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 8/21/2026 4:12:31 AM
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