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Individual
VICTORIA LYNN SPAHN
Active
Individual
VICTORIA LYNN SPAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061515
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103781738
—
PA
01
—
14656183
CAQH
—
Enumeration date
05/08/2020
Last updated
07/28/2025
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