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Individual
DR. SUZANNE SHOCKLEY
Active
Individual
DR. SUZANNE SHOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001414A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200260110A
—
IN
Enumeration date
08/09/2005
Last updated
08/03/2012
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