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1417576380
SHAMILA SHANMUGAM
PHOENIX, AZ
NPI
1417576380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-04-10
Last Update Date
2024-07-01
Business Address
SHAMILA SHANMUGAM PA-C
12251 N 32ND ST STE 12
PHOENIX, AZ 85032-7144
Phone number: 602-951-0950
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Mailing Address
SHAMILA SHANMUGAM PA-C
2285 CORPORATE CIR STE 200
HENDERSON, NV 89074-7759
Phone number: 702-360-2763
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