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Individual
JOANN HELEN SHANK
Active
Individual
JOANN HELEN SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03810
TX
363AM0700X
Medical Physician Assistant
PA104164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181578902 (MDACC)
—
TX
01
—
8N7757
BCBS (MDACC)
TX
Enumeration date
10/13/2006
Last updated
11/15/2012
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