SHANE CARLLSON

BETHEL, AK
NPI1861823106
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: AK  27765)
Enumeration Date2013-12-12
Last Update Date2013-12-12
Business Address
-- SHANE CARLLSON RN
829 CHEIF EDDIE HOFFMAN HWY
BETHEL, AK 99559
Phone number: 907-549-6809
Mailing Address
-- SHANE CARLLSON RN
PO BOX 528
BETHEL, AK 99559-0528
Phone number: 907-543-6809
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