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Individual

TIMOTHY R SHAFFTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AD

Contact information

Practice address
515 28 3/4 RD, GRAND JUNCTION, CO 81501-5016
(970) 263-4918
(970) 683-7278
Mailing address
PO BOX 40, GLENWOOD SPRINGS, CO 81602-0040
(970) 945-2241
(970) 945-5523

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
84119
CO

Other

Enumeration date
06/03/2006
Last updated
07/08/2007
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