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1932589942
SHANNON SMITH PROGRAIS
JOPLIN, MO
NPI
1932589942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MO 2015013506)
Enumeration Date
2015-06-04
Last Update Date
2015-06-04
Business Address
Dr. SHANNON SMITH PROGRAIS M.D.
1102 W 32ND ST
JOPLIN, MO 64804-3503
Phone number: 417-347-1111
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Mailing Address
Dr. SHANNON SMITH PROGRAIS M.D.
4332 LINDELL BLVD
SAINT LOUIS, MO 63108-2702
Phone number:
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