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Individual
SHIRLEY L HO
Active
Individual
SHIRLEY L HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1008
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443PA
—
SC
01
—
GP3566
MEDICAID GROUP #
SC
01
—
P00801707
RAIL ROAD PIN
SC
Enumeration date
08/23/2006
Last updated
02/29/2016
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