Individual
SHANA MARIE GORMAN-DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2717 N 4TH ST STE 100, FLAGSTAFF, AZ 86004-1813
(928) 774-6039
(928) 774-6039
Mailing address
2717 N 4TH ST STE 100, FLAGSTAFF, AZ 86004-1813
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8289
AZ
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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