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Individual

SHANNA RAE BEGAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
208 E PINE KNOLL DRIVE ROOM 215 BUILDING 66, FLAGSTAFF, AZ 86011-0001
(928) 523-7147
(928) 523-6195
Mailing address
PO BOX 72, PINON, AZ 86510-0072
(928) 612-4680

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/10/2020
Last updated
09/10/2020
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