SHANE DEHAVEN

BRUNSWICK, GA
NPI1285054916
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: GA  CHIR009300)
Enumeration Date2014-04-21
Last Update Date2014-04-21
Business Address
Dr. SHANE DEHAVEN D.C.
393 EH CT
BRUNSWICK, GA 31520-2197
Phone number: 716-725-3538
Mailing Address
Dr. SHANE DEHAVEN D.C.
393 EH CT
BRUNSWICK, GA 31520-2197
Phone number: 716-725-3538
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