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1912640913
SHAD ARTHUR SPOONER
PHOENIX, AZ
NPI
1912640913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
SHAD ARTHUR SPOONER
1441 N 12TH ST FL 2
PHOENIX, AZ 85006-2837
Phone number: 602-521-5969
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Mailing Address
SHAD ARTHUR SPOONER
1441 N 12TH ST FL 2
PHOENIX, AZ 85006-2837
Phone number: 602-521-5969
Copy
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