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Individual

LEO L SHUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
D60557
MD
207R00000X
Internal Medicine Physician
D0060557
MD

Other

Enumeration date
10/31/2005
Last updated
09/02/2015
Update your record

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