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1689815201
KARL ERIK SHANSTROM
KENNETT, MO
NPI
1689815201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2011015518)
Enumeration Date
2009-03-11
Last Update Date
2022-12-12
Business Address
Dr. KARL ERIK SHANSTROM DO
900 STATE ROUTE VV
KENNETT, MO 63857-3834
Phone number: 573-559-2365
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Mailing Address
Dr. KARL ERIK SHANSTROM DO
925 STATE ROUTE VV
KENNETT, MO 63857-3822
Phone number: 573-888-5925
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