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Individual

JASON R SHIRLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
1111 N CARSON ST, CARSON CITY, NV 89701-1201
(775) 461-2711
Mailing address
1111 N CARSON ST, CARSON CITY, NV 89701-1201
(775) 461-2711

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
7481478-4602
UT
237700000X
Hearing Instrument Specialist
Primary
HAS-510
NV
237700000X
Hearing Instrument Specialist
HT9062
CA

Other

Enumeration date
03/27/2014
Last updated
09/14/2015
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