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1003509100
SHANE MICHAEL ANDERSON
TEMPLE TERRACE, FL
NPI
1003509100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-06-02
Last Update Date
2024-12-04
Business Address
SHANE MICHAEL ANDERSON PA-C
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
Phone number: 813-978-9700
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Mailing Address
SHANE MICHAEL ANDERSON PA-C
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
Phone number:
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