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1326419748
SHAUN MANTOOTH
LUBBOCK, TX
NPI
1326419748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA10211)
Enumeration Date
2015-10-12
Last Update Date
2022-09-01
Business Address
Mr. SHAUN MANTOOTH PA
6002 SLIDE RD STE D24
LUBBOCK, TX 79414-4310
Phone number: 806-761-0450
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Mailing Address
Mr. SHAUN MANTOOTH PA
5219 CITY BANK PKWY STE 35
LUBBOCK, TX 79407-3537
Phone number: 806-761-0333
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