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Individual

MR. SHAWN GEBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APSS, CSA

Contact information

Practice address
2512 PORTLAND AVE, SUITE 101, LOUISVILLE, KY 40212
(502) 501-3788
(502) 999-9910
Mailing address
2512 PORTLAND AVE, SUITE 101, LOUISVILLE, KY 40212
(502) 501-3788
(502) 999-9910

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
KY

Other

Enumeration date
12/26/2024
Last updated
12/26/2024
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