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Individual
SHAWN GILLETT ALLEN
Active
Individual
SHAWN GILLETT ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-886
ID
363A00000X
Physician Assistant
PA211907
OR
363AM0700X
Medical Physician Assistant
—
NULL
Other
Enumeration date
02/21/2007
Last updated
02/17/2023
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