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1083016034
SHANE RATHMANN
GLENDALE, AZ
NPI
1083016034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: AZ 14-478)
Enumeration Date
2014-09-22
Last Update Date
2014-09-22
Business Address
-- SHANE RATHMANN
4101 W UNION HILLS DR 2018
GLENDALE, AZ 85308-1729
Phone number: 602-561-4813
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Mailing Address
-- SHANE RATHMANN
4101 W UNION HILLS DR 2018
GLENDALE, AZ 85308-1729
Phone number: 602-561-4813
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