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1902011893
FRED GLEN SHAY
PHOENIX, AZ
NPI
1902011893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: AZ 4263)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
Dr. FRED GLEN SHAY D.C.
5847 S 16TH ST
PHOENIX, AZ 85040-3512
Phone number: 602-268-3451
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Mailing Address
Dr. FRED GLEN SHAY D.C.
1816 E DUNBAR DR
PHOENIX, AZ 85042-5799
Phone number: 602-232-2178
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