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1265557060
SHAWNA RENEE CARBONNIERE
PRESCOTT, AZ
NPI
1265557060
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Former Name
SHAWNA RENEE GOMEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 3516)
Enumeration Date
2007-03-20
Last Update Date
2022-05-23
Business Address
SHAWNA RENEE CARBONNIERE PA
3110 CLEARWATER DR STE B
PRESCOTT, AZ 86305-7177
Phone number: 623-516-8252
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Mailing Address
SHAWNA RENEE CARBONNIERE PA
5281 N 99TH AVE STE 100
GLENDALE, AZ 85305-2209
Phone number: 623-516-8252
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