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Individual

SHAUNA J FUNDERBURK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
600 MARY STREET, EVANSVILLE, IN 47747-0001
(812) 450-7338
(812) 450-2193
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-7338
(812) 450-2193

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000996A
IN

Other

Enumeration date
07/11/2008
Last updated
10/09/2015
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