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Individual
SHANE BRENNA DEVINE
Active
Individual
SHANE BRENNA DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
58.03828
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
58.03828
OH
Other
Enumeration date
03/31/2025
Last updated
02/23/2026
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