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Individual

BETH SHANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2 BLACKBURN DR, GLOUCESTER, MA 01930-2227
(978) 281-1500
(978) 282-3699
Mailing address
2 BLACKBURN DR, GLOUCESTER, MA 01930-2227
(978) 281-1500
(978) 282-3699

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3829
MA

Other

Enumeration date
08/05/2009
Last updated
08/05/2009
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