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1669790523
SHAWN D WANDERAAS
SOUTHAVEN, MS
NPI
1669790523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: MS 1201)
Enumeration Date
2010-05-17
Last Update Date
2013-03-05
Business Address
-- SHAWN D WANDERAAS DC
1134 CHURCH ROAD
SOUTHAVEN, MS 38671
Phone number: 662-393-4848
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Mailing Address
-- SHAWN D WANDERAAS DC
1134 CHURCH ROAD W
SOUTHAVEN, MS 38671
Phone number: 662-393-4848
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