SHANE SULLAWAY

GRAND PRAIRIE, TX
NPI1366738320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247200000X Technician, Other
Enumeration Date2011-06-28
Last Update Date2011-06-28
Business Address
MR. SHANE SULLAWAY
2100 N HIGHWAY 360 STE. 1802
GRAND PRAIRIE, TX 75050-1011
Phone number: 972-647-8567
Mailing Address
MR. SHANE SULLAWAY
2100 N HIGHWAY 360 STE. 1802
GRAND PRAIRIE, TX 75050-1011
Phone number:
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