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Individual
SHU DONG
Active
Individual
SHU DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20192
CA
363LF0000X
Family Nurse Practitioner
1117425
TX
Other
Enumeration date
03/21/2011
Last updated
07/10/2024
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