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Individual

DR. SHANNON R ADDLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
504 N PENN AVE, OBERLIN, KS 67749-1619
(785) 475-2219
(785) 475-2210
Mailing address
212 N GRIFFITH AVE, OBERLIN, KS 67749-1912
(785) 475-2123

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0105039
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
062407
BCBS
KS
Enumeration date
05/17/2007
Last updated
09/26/2007
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