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Individual
LUCA SHAWN CALERO
Active
Individual
LUCA SHAWN CALERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
084521
NC
363A00000X
Physician Assistant
Primary
MA065582
PA
363AM0700X
Medical Physician Assistant
0010-14332
NC
363AM0700X
Medical Physician Assistant
MA065582
PA
Other
Enumeration date
05/09/2024
Last updated
12/08/2025
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