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1851610752
SHAYNA LOREN FASKEN
COLUMBIA, MO
NPI
1851610752
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Former Name
SHAYNA LOREN BROIDY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: MO 2008001514)
Enumeration Date
2010-05-18
Last Update Date
2017-02-27
Business Address
-- SHAYNA LOREN FASKEN D.C., M.T.A.A.
2501 W ASH ST STE B
COLUMBIA, MO 65203-4604
Phone number: 573-442-8959
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Mailing Address
-- SHAYNA LOREN FASKEN D.C., M.T.A.A.
2501 W ASH ST STE B
COLUMBIA, MO 65203-4604
Phone number: 573-442-8959
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