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1881920353
SHANE CLINTON WILLIAMON
ANNISTON, AL
NPI
1881920353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AL 1-078396)
Enumeration Date
2009-10-19
Last Update Date
2009-10-19
Business Address
Mr. SHANE CLINTON WILLIAMON crnp
901 KEITH AVENUE
ANNISTON, AL 36202
Phone number: 256-236-8611
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Mailing Address
Mr. SHANE CLINTON WILLIAMON crnp
P.O. BOX 1890
ANNISTON, AL 36203
Phone number: 256-236-8611
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