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1639161003
JOHN E SHOCKLEY
LEES SUMMIT, MO
NPI
1639161003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO R5A82)
Enumeration Date
2005-08-22
Last Update Date
2021-11-01
Business Address
JOHN E SHOCKLEY D.O.
615 SW 3RD ST
LEES SUMMIT, MO 64063-2212
Phone number: 816-524-3799
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Mailing Address
JOHN E SHOCKLEY D.O.
8550 MARSHALL DR STE 220
LENEXA, KS 66214-1505
Phone number: 816-524-3799
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