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1396221230
SHANE RYAN SANDERS
PRESCOTT, AZ
NPI
1396221230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ OPT-002281)
Enumeration Date
2018-07-13
Last Update Date
2018-07-13
Business Address
DR. SHANE RYAN SANDERS OD
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301-6610
Phone number: 928-445-1234
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Mailing Address
DR. SHANE RYAN SANDERS OD
345 S VIRGINIA ST UNIT 11
PRESCOTT, AZ 86303-4469
Phone number: 928-308-0275
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