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Individual
SHANNON CARPENTER
Active
Individual
SHANNON CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
04-33453
KS
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
2008033151
MO
2080P0207X
Pediatric Hematology & Oncology Physician
L9645
TX
Other
Enumeration date
08/24/2006
Last updated
11/13/2008
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