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Individual

MARLON SHIVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
1493 MADISON ST, CLARKSVILLE, TN 37040-3845
(931) 551-9948
Mailing address
1493 MADISON ST, CLARKSVILLE, TN 37040-3845
(931) 551-9948

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7065
TN

Other

Enumeration date
04/07/2011
Last updated
04/07/2011
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