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1053941351
SHAWN TREVOR BUNNELL
SAYRE, PA
NPI
1053941351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: UT 8315670-4405)
Enumeration Date
2020-01-25
Last Update Date
2020-02-01
Business Address
SHAWN TREVOR BUNNELL AGNP
1537 ELMIRA ST
SAYRE, PA 18840-9254
Phone number: 570-824-3521
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Mailing Address
SHAWN TREVOR BUNNELL AGNP
3282 S 1380 W
NIBLEY, UT 84321-7953
Phone number: 435-890-5553
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