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Individual
SHAWN ALLEN WAITERS SR.
Active
Individual
SHAWN ALLEN WAITERS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704224275
MI
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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