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Individual
SHELBY LYNNE RANSDELL SOOKDEO
Active
Individual
SHELBY LYNNE RANSDELL SOOKDEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9116652
FL
363A00000X
Physician Assistant
PA0004370
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1099163
NCCPA CERTIFICATION
—
01
—
15907394
CAQH
—
01
—
PA9116652
FLORIDA LICENSE
FL
Enumeration date
08/29/2016
Last updated
05/22/2023
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