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Individual
MR. SHAWN R CULEY
Active
Individual
MR. SHAWN R CULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3579
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5609089
—
SD
01
—
S102518
MEDICARE
SD
Enumeration date
03/11/2006
Last updated
11/09/2020
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