WILLIAM SHANE FISHER

FLAGSTAFF, AZ
NPI1295138568
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: AZ  AL8133H)
Enumeration Date2014-10-01
Last Update Date2019-05-16
Business Address
WILLIAM SHANE FISHER
6005 E ABINEAU CANYON DR
FLAGSTAFF, AZ 86004-7168
Phone number: 928-635-6750
Mailing Address
WILLIAM SHANE FISHER
PO BOX 30354
FLAGSTAFF, AZ 86003-0354
Phone number: 928-635-6750
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