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1629004759
CAROL L SHACKLETON
GOTHENBURG, NE
NPI
1629004759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 16620)
Enumeration Date
2006-06-23
Last Update Date
2012-02-09
Business Address
Dr. CAROL L SHACKLETON M.D.
918 20TH STREET
GOTHENBURG, NE 69138-1237
Phone number: 308-537-7131
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Mailing Address
Dr. CAROL L SHACKLETON M.D.
918 20TH STREET
GOTHENBURG, NE 69138-1237
Phone number: 308-537-7131
Copy
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