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Individual
SHANE KNELL
Active
Individual
SHANE KNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, PA-C
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS47947
FL
363A00000X
Physician Assistant
Primary
—
PA
Other
Enumeration date
08/26/2011
Last updated
07/10/2024
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