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Individual

KARA LYNN SHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
656 LINCOLN RD, GROSSE POINTE, MI 48230-1220
(313) 330-0795
Mailing address
656 LINCOLN RD, GROSSE POINTE, MI 48230-1220
(313) 330-0795

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
02/07/2022
Last updated
02/07/2022
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