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1639501208
SHAWN ERIC RAYMOND
NEODESHA, KS
NPI
1639501208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: KS 53-76041-081)
Enumeration Date
2013-08-06
Last Update Date
2024-09-25
Business Address
SHAWN ERIC RAYMOND APRN
2600 OTTAWA RD
NEODESHA, KS 66757-1897
Phone number: 620-325-2611
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Mailing Address
SHAWN ERIC RAYMOND APRN
PO BOX 360
NEODESHA, KS 66757-0360
Phone number: 620-325-2611
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