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Ms. Shawn Wilson
Contractor in Fayetteville, Arkansas
NPI 1598141525

Shawn Wilson is a Contractor based in Fayetteville, AR. Shawn Wilson practices in Fayetteville, AR. The NPI Number for Shawn Wilson is 1598141525 and holds a License No. 208211783 (Arkansas).

The current practice location address for Shawn Wilson is 880 W Eden Cir, Fayetteville, AR and can be reached out via phone at 479-445-2781. You can also correspond with Shawn Wilson through the mailing address at 880 W EDEN CIR, FAYETTEVILLE, AR - 72701-6931 (mailing address contact number: 479-445-2781).

Location: 880 W Eden Cir, Fayetteville, AR, 72701-6931
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598141525
Provider Name
Shawn Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
880 W Eden Cir, Fayetteville, AR, 72701-6931
Phone Number
479-445-2781
Fax Number
Provider Enumeration Date
07/31/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208211783 05 AR
institution
Provider Business Practice Location Address Details
Address
880 W Eden Cir
City
Fayetteville
State
Arkansas
Zip
72701-6931
Phone Number
479-445-2781
Fax Number
person
Provider Business Mailing Address Details
Address
880 W Eden Cir
City
Fayetteville
State
Arkansas
Zip
72701-6931
Phone Number
479-445-2781
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
208211783 (Arkansas)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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