Individual
SHAUN DESHAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3411 DIVISION DR, WEST PLAINS, MO 65775-5789
(417) 257-9152
Mailing address
3411 DIVISION DR, WEST PLAINS, MO 65775-5789
(417) 257-9152
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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