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Individual
SHANNA LEIGH SPENCE
Active
Individual
SHANNA LEIGH SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C8442
AR
207Q00000X
Family Medicine Physician
K1075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8B4912
TRALBLAZERS
—
Enumeration date
07/07/2005
Last updated
08/22/2007
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