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1255974390
SHAWN ALLEN WAITERS
ANN ARBOR, MI
NPI
1255974390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI 4704224275)
Enumeration Date
2019-10-22
Last Update Date
2019-10-22
Business Address
SHAWN ALLEN WAITERS Nurse Practitioner
2215 FULLER RD
ANN ARBOR, MI 48105-2303
Phone number: 734-222-7921
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Mailing Address
SHAWN ALLEN WAITERS Nurse Practitioner
929 BIRCHWOOD DR
FLUSHING, MI 48433-1401
Phone number: 810-845-3045
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