ERIC THOMAS SHANK

PORTSMOUTH, VA
NPI1548298177
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-06-30
Last Update Date2007-07-08
Business Address
-- ERIC THOMAS SHANK IDC
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-8895
Mailing Address
-- ERIC THOMAS SHANK IDC
5548 MAGNOLIA RUN CIR
VIRGINIA BEACH, VA 23464-1692
Phone number: 757-486-6616
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