Shauna Mucklow

NPI #1669764544 in Kearney, Nebraska

Provider Information

NPI Number: 1669764544
Entity Type: Individual
Name: Shauna Mucklow
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: May 10, 2011
Last Updated: May 10, 2011

Practice Location

Address: 2304 CENTRAL AVE
City: Kearney
State: Nebraska
ZIP Code: 68847-5349
Phone: (308) 237-3044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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