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1336209188
SHAWN ROBERT WALTON
SIOUX CITY, IA
NPI
1336209188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IA 07610)
Enumeration Date
2006-12-11
Last Update Date
2014-04-07
Business Address
Mr. SHAWN ROBERT WALTON
2410 PIERCE STREET
SIOUX CITY, IA 51104
Phone number: 712-255-7607
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Mailing Address
Mr. SHAWN ROBERT WALTON
2410 PIERCE STREET
SIOUX CITY, IA 51104
Phone number: 712-255-7607
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