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Individual
SHANA LEE VONGKHANKEO
Active
Individual
SHANA LEE VONGKHANKEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11005527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105858200
—
FL
Enumeration date
01/29/2020
Last updated
08/25/2021
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