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Individual
SHANNON KEAGON YEAGER
Active
Individual
SHANNON KEAGON YEAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BOCP, C.PED.
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
—
NULL
224P00000X
Prosthetist
Primary
—
NULL
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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