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1336363381
KELLY SHOOK
AUSTIN, TX
NPI
1336363381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04675)
Enumeration Date
2007-04-12
Last Update Date
2009-11-11
Business Address
-- KELLY SHOOK PA
4303 VICTORY DR
AUSTIN, TX 78704-8870
Phone number: 512-462-3627
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Mailing Address
-- KELLY SHOOK PA
4303 VICTORY DR
AUSTIN, TX 78704-8870
Phone number: 512-462-3627
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