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1255859567
SHANE MCBRIDE SMITH
SHOW LOW, AZ
NPI
1255859567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 6819)
Enumeration Date
2017-09-07
Last Update Date
2017-09-07
Business Address
SHANE MCBRIDE SMITH PA-C
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901-7831
Phone number: 928-537-4375
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Mailing Address
SHANE MCBRIDE SMITH PA-C
1400 BREINHOLT LN
SHOW LOW, AZ 85901
Phone number:
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