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1386617298
CHARLES B SHANE
LOUISVILLE, KY
NPI
1386617298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: KY 18903)
Enumeration Date
2006-02-10
Last Update Date
2009-06-18
Business Address
-- CHARLES B SHANE M.D.
205 SYCAMORE HILLS CT
LOUISVILLE, KY 40245-5095
Phone number: 502-243-8330
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Mailing Address
-- CHARLES B SHANE M.D.
205 SYCAMORE HILLS CT
LOUISVILLE, KY 40245-5095
Phone number: 502-243-8330
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