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Individual
MRS. SHANNON CAROLINA CHAVEZ
Active
Individual
MRS. SHANNON CAROLINA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16991
CA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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