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Individual
SHANNON DUVERNELL
Active
Individual
SHANNON DUVERNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.067151
IL
208000000X
Pediatrics Physician
69343-21
WI
208M00000X
Hospitalist Physician
Primary
DR.0068984
CO
Other
Enumeration date
06/11/2015
Last updated
11/29/2022
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