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Individual
SHANE CREAN
Active
Individual
SHANE CREAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0102208199
VA
208D00000X
General Practice Physician
Primary
0102208199
VA
Other
Enumeration date
02/07/2022
Last updated
07/15/2024
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