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1285727859
SHANE E REYNOLDS
PEORIA, AZ
NPI
1285727859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 3491)
Enumeration Date
2006-10-02
Last Update Date
2010-09-09
Business Address
-- SHANE E REYNOLDS PA-C
7615 W THUNDERBIRD RD STE 106
PEORIA, AZ 85381-6083
Phone number: 623-773-2273
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Mailing Address
-- SHANE E REYNOLDS PA-C
PO BOX 9609
BELFAST, ME 04915-9609
Phone number: 623-773-2273
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