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1053629964
SHAWNLY HEATH WARD
NORFOLK, VA
NPI
1053629964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2010-09-14
Last Update Date
2018-05-16
Business Address
Mr. SHAWNLY HEATH WARD SFIDC
SURFACE WARFARE MEDICAL INSTITUTE - EAST 459 BELLINGER BLVD
NORFOLK, VA 23511
Phone number: 757-322-9298
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Mailing Address
Mr. SHAWNLY HEATH WARD SFIDC
1424 GUST LN
CHESAPEAKE, VA 23323-2906
Phone number: 757-462-7491
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