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Individual
SHANLEY BLACKLEY SIFAIN
Active
Individual
SHANLEY BLACKLEY SIFAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
276535
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
62287
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/23/2011
Last updated
01/22/2021
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