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Individual
SHIRLEY SANDY KOON
Active
Individual
SHIRLEY SANDY KOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A14866
CA
207R00000X
Internal Medicine Physician
OP60389702
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01230600
RAILROAD MDC
WA
Enumeration date
03/19/2010
Last updated
08/11/2016
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