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1356759005
MIA SHAWHAN
FORT SMITH, AR
NPI
1356759005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2014-07-25
Last Update Date
2014-07-25
Business Address
-- MIA SHAWHAN CFY-SLP
3205 JENNY LIND RD
FORT SMITH, AR 72901-7101
Phone number: 479-785-2501
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Mailing Address
-- MIA SHAWHAN CFY-SLP
2806 GRINNELL AVE
FORT SMITH, AR 72908-8767
Phone number: 906-322-0280
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