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1710967864
LAWRENCE M. SHOVELTON
SALIDA, CO
NPI
1710967864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CO 172781)
Enumeration Date
2006-01-17
Last Update Date
2017-04-04
Business Address
Mr. LAWRENCE M. SHOVELTON CRNA
29 SILVER SPRUCE DR
SALIDA, CO 81201-9483
Phone number: 719-325-6871
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Mailing Address
Mr. LAWRENCE M. SHOVELTON CRNA
310 COUNTY ROAD 14
DEL NORTE, CO 81132-8719
Phone number: 719-657-4102
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