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1023198959
SHAWN M HAFERKAMP
FREDERICKTOWN, MO
NPI
1023198959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO 2004016911)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
Mr. SHAWN M HAFERKAMP OD
152 S MAIN ST
FREDERICKTOWN, MO 63645-1452
Phone number: 573-783-3573
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Mailing Address
Mr. SHAWN M HAFERKAMP OD
51 DOVE CT
FARMINGTON, MO 63640-7709
Phone number: 573-783-3573
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