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1639225055
DOUGLAS EUGENE SHAFFER
FARMINGTON, NM
NPI
1639225055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NM PA20050038NM)
Enumeration Date
2007-01-26
Last Update Date
2007-12-12
Business Address
-- DOUGLAS EUGENE SHAFFER PAC
3451 N BUTLER AVE
FARMINGTON, NM 87401-2357
Phone number: 505-566-1915
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Mailing Address
-- DOUGLAS EUGENE SHAFFER PAC
3451 N BUTLER AVE
FARMINGTON, NM 87401-2357
Phone number: 505-566-1915
Copy
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