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Individual
GAIL ELLEN SHIRLEY
Active
Individual
GAIL ELLEN SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS005037L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2822326
AETNA PROVIDER NUMBER
PA
01
—
5997984
GHI PROVIDER NUMBER
PA
01
—
P661341
OXFORD PROVIDER NUMBER
PA
Enumeration date
10/10/2006
Last updated
11/18/2011
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