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Individual
SHUKUFA MANSOURI
Active
Individual
SHUKUFA MANSOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-16599
NC
363A00000X
Physician Assistant
Primary
0110-007625
VA
363A00000X
Physician Assistant
0110007625
VA
Other
Enumeration date
01/04/2021
Last updated
09/14/2026
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