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Individual
SHANE MICHAEL CLARY
Active
Individual
SHANE MICHAEL CLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001262949
VA
363L00000X
Nurse Practitioner
Primary
0024179611
VA
Other
Enumeration date
05/08/2020
Last updated
06/30/2020
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