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1154846301
MICHELLE INEZ SHANKLAND
CHARLESTON, SC
NPI
1154846301
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Former Name
MICHELLE INEZ PORTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-08-09
Last Update Date
2021-11-29
Business Address
Mrs. MICHELLE INEZ SHANKLAND PA-C
316 CALHOUN ST
CHARLESTON, SC 29401-1113
Phone number: 502-893-1000
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Mailing Address
Mrs. MICHELLE INEZ SHANKLAND PA-C
10007 LAURALYNN CT
LOUISVILLE, KY 40299-5973
Phone number:
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