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Individual
SHAWNA HEGLAR
Active
Individual
SHAWNA HEGLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19109
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19109
SC LICENSE
SC
Enumeration date
10/10/2014
Last updated
07/12/2016
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