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Individual
SEAN EASTON
Active
Individual
SEAN EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58687
STATE LICENSE
CA
01
—
6981
STATE LICENSE
AZ
Enumeration date
02/11/2018
Last updated
03/18/2022
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