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Individual
SHANDON HALLAND
Active
Individual
SHANDON HALLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2261823
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R 194672-3
MN
Other
Enumeration date
09/10/2009
Last updated
08/17/2010
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