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Individual
JESSICA SHOBER
Active
Individual
JESSICA SHOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025672
NY
363AS0400X
Surgical Physician Assistant
025672
NY
Other
Enumeration date
03/28/2020
Last updated
05/12/2026
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