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1073560405
LINDA SHOFNER
BRIDGETON, MO
NPI
1073560405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MO 053795)
Enumeration Date
2006-05-30
Last Update Date
2007-07-09
Business Address
-- LINDA SHOFNER CPNP
12303 DE PAUL DR
BRIDGETON, MO 63044-2512
Phone number: 314-344-6000
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Mailing Address
-- LINDA SHOFNER CPNP
1836 LACKLAND HILL PKWY ATTN: CREDENTIALING OFFICE
SAINT LOUIS, MO 63146-3572
Phone number: 314-989-0300
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