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Individual

SHAWNA KOEHLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 889-2011
Mailing address
1246 GRANDVIEW RD, ALTOONA, PA 16601-7264

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052030
PA

Other

Enumeration date
07/27/2007
Last updated
05/24/2021
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