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Individual
MS. ROXANA SHAW
Active
Individual
MS. ROXANA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, P.A.-C, CHC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005335-1
NY
363A00000X
Physician Assistant
Primary
PA55445
CA
Other
Enumeration date
11/28/2006
Last updated
02/28/2019
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