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Individual
MS. SHELBY BALLARON
Active
Individual
MS. SHELBY BALLARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
VA
363AS0400X
Surgical Physician Assistant
0110-006205
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841550035
—
VA
Enumeration date
05/21/2018
Last updated
12/08/2021
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