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Individual

DR. SHAWN ALLEN COTTRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
127 GOFF MOUNTAIN RD, CROSS LANES, WV 25313-1434
(304) 776-7290
(304) 776-8058
Mailing address
127 GOFF MOUNTAIN RD, CROSS LANES, WV 25313-1434
(304) 776-7290
(304) 776-8058

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
671
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810022608
WV
Enumeration date
09/21/2006
Last updated
10/05/2021
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