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Individual

SHAWN FAIRCHILD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9794 W PEORIA AVE STE 15, PEORIA, AZ 85345-6138
(805) 218-6458
Mailing address
9794 W PEORIA AVE STE 15, PEORIA, AZ 85345-6138

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
06/07/2022
Last updated
06/07/2022
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  • EDI platform