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Individual
MRS. RHONDA L. SHINAULT
Active
Individual
MRS. RHONDA L. SHINAULT
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
5601004817
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629097175
—
MI
01
—
5601004817
PHYS. ASST. LICENSE NUMB
MI
01
—
P00888250
RR
MI
Enumeration date
07/18/2006
Last updated
11/27/2023
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