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1922450493
SHAWN ROBERT O'HAVER
LAKE HAVASU CITY, AZ
NPI
1922450493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: AZ AP11115)
Enumeration Date
2016-07-08
Last Update Date
2021-11-11
Business Address
SHAWN ROBERT O'HAVER AG-ACNP
84 ACOMA BLVD N STE 106
LAKE HAVASU CITY, AZ 86403-6096
Phone number: 928-412-8808
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Mailing Address
SHAWN ROBERT O'HAVER AG-ACNP
84 ACOMA BLVD N STE 106
LAKE HAVASU CITY, AZ 86403-6096
Phone number: 928-412-8808
Copy
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