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Shenan Lark
NPI 1104211655 · on the registry since 2015 · sole proprietor
Practice
- Address
- 28 Aspen St. # 205
Angel Fire, NM 87710 - Phone
- (505) 603-9282
Registry record
- Primary taxonomy
- 347C00000X
347C00000X
- Also registered as
- 146D00000X
172A00000X - Sex
- Male
- Record last updated
- 2015-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico