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Individual
MR. SHAWN GASAWAY
Active
Individual
MR. SHAWN GASAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1050304
TX
363LF0000X
Family Nurse Practitioner
Primary
11017089
FL
363LF0000X
Family Nurse Practitioner
123641
AR
Other
Enumeration date
02/25/2020
Last updated
03/08/2023
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