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Individual
WILLIAM SHAWN FAGAN
Active
Individual
WILLIAM SHAWN FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.437732
OH
164W00000X
Licensed Practical Nurse
LPN.147539.MEDS-IV
OH
Other
Enumeration date
04/18/2017
Last updated
05/03/2017
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