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DR. SHAWN BEASLEY D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1700821055

Individual Registrant:
DR. SHAWN  BEASLEY D.C.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4102 JEFFERSON AVE  TEXARKANA, AR 71854-1512 US
Tel: 870-779-9924  Fax: 870-779-9329

Contact information for business:
4102 JEFFERSON AVE  TEXARKANA, AR 71854-1512 US
Tel: 870-779-9924  Fax: 870-779-9329

Registration Information:
NPI: 1700821055
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
AR1607

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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