Statements: Shawn Willson

Canonical ID: us-medks-792c0e94d1adbb5e3837f5a04d1d66573dc6504c · Entity type: LegalEntity (reference)

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LegalEntity:descriptionKMAP Provider Number 200599170Cengus_ks_med_exclusionsus-medks-792c0e94d1adbb5e3837f5a04d1d66573dc6504c
LegalEntity:id14b573f903735287ab75cb0e16e0c8879ada6b18engus_ks_med_exclusionsus-medks-792c0e94d1adbb5e3837f5a04d1d66573dc6504c
LegalEntity:nameShawn Willsonengus_ks_med_exclusionsus-medks-792c0e94d1adbb5e3837f5a04d1d66573dc6504c
LegalEntity:npiCode1952502544engus_ks_med_exclusionsus-medks-792c0e94d1adbb5e3837f5a04d1d66573dc6504c
LegalEntity:sectorPhysicianengus_ks_med_exclusionsus-medks-792c0e94d1adbb5e3837f5a04d1d66573dc6504c
LegalEntity:topicsdebarmentengus_ks_med_exclusionsus-medks-792c0e94d1adbb5e3837f5a04d1d66573dc6504c
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