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1255901898
SHANON K LUKE
COLUMBIA, MO
NPI
1255901898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 2021020969)
Enumeration Date
2021-06-27
Last Update Date
2021-06-27
Business Address
SHANON K LUKE MS
404 N KEENE ST
COLUMBIA, MO 65201-6626
Phone number: 573-882-4438
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Mailing Address
SHANON K LUKE MS
400 N KEENE ST
COLUMBIA, MO 65201-6626
Phone number: 573-882-4438
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