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Individual
SHANNON CHRISTINE GABEL
Active
Individual
SHANNON CHRISTINE GABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
249
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117064300
—
WY
01
—
314247
BLUE CROSS BLUE SHIELD WY
WY
01
—
314309
BLUE CROSS BLUE SHIELD WY
WY
05
—
4310527
—
MT
01
—
5601005656
MI LICENSE
MI
01
—
900213
BLUE CROSS BLUE SHIELD MT
MT
Enumeration date
06/07/2006
Last updated
02/07/2025
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