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1134468267
SAM FAULKNER SHUMWAY
GLENDALE, AZ
NPI
1134468267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 5284)
Enumeration Date
2013-02-08
Last Update Date
2019-08-23
Business Address
SAM FAULKNER SHUMWAY PA
7734 N 59TH AVE
GLENDALE, AZ 85301-7816
Phone number: 602-569-3999
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Mailing Address
SAM FAULKNER SHUMWAY PA
1533 E WILLETTA ST
PHOENIX, AZ 85006-2935
Phone number: 602-569-3999
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