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Individual
KATHLEEN ANN SHOOK
Active
Individual
KATHLEEN ANN SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.H.A.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01044795A
IN
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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