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Individual
SEAN T PAQUETTE
Active
Individual
SEAN T PAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5748
OK
363AS0400X
Surgical Physician Assistant
PA21427
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4292600001
DME SUPPLIER NUMBER
CA
Enumeration date
07/20/2009
Last updated
12/30/2025
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