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Individual

LOUISE ANNA MARIE SHELLENBARGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
3237 NW 25TH AVE, GAINESVILLE, FL 32605-2759
(352) 235-2322

Taxonomy

Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
380075

Other

Enumeration date
09/27/2022
Last updated
09/27/2022
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