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Individual
SHAWNA O'DONLEY
Active
Individual
SHAWNA O'DONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03438
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y0106
BLUE CROSS BLUE SHIELD NU
TX
01
—
8Y1143
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/08/2006
Last updated
02/27/2008
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