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1508948589
SHEA WILSON SIMONS
FORT CAMPBELL, KY
NPI
1508948589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA521)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
-- SHEA WILSON SIMONS PA-C
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8706
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Mailing Address
-- SHEA WILSON SIMONS PA-C
280 GEORGETOWN CIR
ELKTON, KY 42220-9327
Phone number: 270-265-9775
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