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1790487858
SHAD M HINES
WARREN, MI
NPI
1790487858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-21
Last Update Date
2024-06-30
Business Address
SHAD M HINES DO
11900 E 12 MILE RD STE 205
WARREN, MI 48093-3499
Phone number: 586-582-7034
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Mailing Address
SHAD M HINES DO
10914 E 23RD AVE
SPOKANE VALLEY, WA 99206-5636
Phone number:
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