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Individual

SHAUNA ELLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ABOC

Contact information

Practice address
2375 NE HIGHWAY 99W, MCMINNVILLE, OR 97128-9201
(503) 434-1183
(503) 472-7433
Mailing address
2375 NE HIGHWAY 99W, MCMINNVILLE, OR 97128-9201
(503) 434-1183

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
228441
AZ

Other

Enumeration date
02/06/2025
Last updated
02/06/2025
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