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1083150064
SHANE JAMISON
FORT SMITH, AR
NPI
1083150064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AR C003202)
Enumeration Date
2017-01-13
Last Update Date
2020-02-21
Business Address
Dr. SHANE JAMISON DNP
12809 DIAMOND LN
FORT SMITH, AR 72916-4155
Phone number: 918-721-3264
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Mailing Address
Dr. SHANE JAMISON DNP
12809 DIAMOND LN
FORT SMITH, AR 72916-4155
Phone number: 918-721-3264
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