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1871373167
SHELLY LYNN LUPIAN
BULLHEAD CITY, AZ
NPI
1871373167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: AZ 002528)
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
SHELLY LYNN LUPIAN LDO
2840 HWAY 95
BULLHEAD CITY, AZ 86442-7792
Phone number: 928-758-1450
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Mailing Address
SHELLY LYNN LUPIAN LDO
550 KAREN WAY
BULLHEAD CITY, AZ 86442-6177
Phone number: 909-362-9747
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