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Individual
KAYLEE RAE MASHBURN
Active
Individual
KAYLEE RAE MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
9117963
FL
363A00000X
Physician Assistant
Primary
PA9117963
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119846700
—
FL
Enumeration date
10/02/2023
Last updated
05/29/2025
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