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Individual

MR. SHAWN IVAN PARSONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH, RN

Contact information

Practice address
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7177
(334) 255-7176
Mailing address
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7177
(334) 255-7176

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-078020
AL
183500000X
Pharmacist
Primary
019809
GA

Other

Enumeration date
09/12/2008
Last updated
09/12/2008
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