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Individual

SEAN SHAND

Active
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Individual

SEAN SHAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AAC

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA69
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1165
AAC CERTIFICATE
—
01
—
AA69
LICENSE
FL
01
—
G00L9
BLUE SHIELD
FL
Enumeration date
11/22/2010
Last updated
12/20/2010
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