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1912576463
SHANNON KLOBERDANZ
SOUTHFIELD, MI
NPI
1912576463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-06-20
Last Update Date
2022-06-06
Business Address
SHANNON KLOBERDANZ
27725 GREENFIELD RD
SOUTHFIELD, MI 48076
Phone number: 248-424-7159
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Mailing Address
SHANNON KLOBERDANZ
27725 GREENFIELD RD
SOUTHFIELD, MI 48076
Phone number: 630-340-2723
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