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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Michale R. Shook | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Michale | [sources] | |||
| Last name | Shook | [sources] | |||
| Middle name | R. | [sources] | |||
| Registration number | C54017 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 20120 North Key Dr., Boca Raton, FL | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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