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1568444941
SHANE J MILLARD
KAILUA, HI
NPI
1568444941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: HI AMD 240)
Enumeration Date
2005-11-18
Last Update Date
2023-05-08
Business Address
SHANE J MILLARD AMD
130 KAILUA RD SUITE 111
KAILUA, HI 96734-3420
Phone number: 808-261-4411
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Mailing Address
SHANE J MILLARD AMD
130 KAILUA RD SUITE 111
KAILUA, HI 96734-3420
Phone number: 808-261-4411
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