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Individual

SHANNA R CLABAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1306 18TH ST, SUITE D, SPIRIT LAKE, IA 51360-1163
(712) 336-2626
(712) 336-8834
Mailing address
703 LAKE ST, SPIRIT LAKE, IA 51360-1647
(712) 336-2626

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007515
IA

Other

Enumeration date
10/22/2012
Last updated
07/28/2017
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