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Individual
SHELLY A VOIGT
Active
Individual
SHELLY A VOIGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60420912
WA
363AM0700X
Medical Physician Assistant
PA60420912
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032418
—
WA
01
—
PA60420912
DEPT OF HEALTH LICENSE NUMBER
WA
Enumeration date
01/25/2013
Last updated
01/18/2021
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