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Individual
MANOJ KUMAR SHUKLA
Active
Individual
MANOJ KUMAR SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN11009173
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP11009173
FL
Other
Enumeration date
07/07/2021
Last updated
08/29/2023
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