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1053646315
SHANE E PARKER
TUCSON, AZ
NPI
1053646315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2009-10-05
Last Update Date
2009-10-05
Business Address
-- SHANE E PARKER lmt
922 N CHRYSLER DR 3
TUCSON, AZ 85716-4389
Phone number: 520-205-1713
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Mailing Address
-- SHANE E PARKER lmt
922 N CHRYSLER DR 3
TUCSON, AZ 85716
Phone number: 520-205-1713
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