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Individual

KENT SHELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
711 MCNAB PARKWAY AND MAIN, SAN MANUEL, AZ 85631
(520) 385-2337
(520) 385-2621
Mailing address
711 MCNAB PARKWAY AND MAIN, SAN MANUEL, AZ 85631
(520) 385-2337
(520) 385-2621

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
SLP0018
AZ

Other

Enumeration date
04/27/2007
Last updated
07/08/2007
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