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1649299710
SHAUN MICHAEL SHORE
PROSPER, TX
NPI
1649299710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA04445)
Enumeration Date
2006-07-19
Last Update Date
2013-09-12
Business Address
-- SHAUN MICHAEL SHORE PA-C
960 CARIBOU DR
PROSPER, TX 75078-7066
Phone number: 469-343-6333
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Mailing Address
-- SHAUN MICHAEL SHORE PA-C
960 CARIBOU DR
PROSPER, TX 75078-7066
Phone number: 469-343-6333
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