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SHIRLEY LYNN HAYNES

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6345
(800) 325-3982
(877) 685-9866
Mailing address
91-1001 HOKUIMO ST, KAPOLEI, HI 96707-3078
(808) 398-2209

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00545
OR

Other

Enumeration date
02/21/2006
Last updated
07/08/2007
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