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1629449483
KAYLA LYNN SHATTUCK
SENECA, SC
NPI
1629449483
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Former Name
KAYLA LYNN MIZGALA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 4398)
Enumeration Date
2015-10-19
Last Update Date
2023-08-21
Business Address
KAYLA LYNN SHATTUCK PA-C
100 OMNI DR STE B
SENECA, SC 29672-9448
Phone number: 864-886-9250
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Mailing Address
KAYLA LYNN SHATTUCK PA-C
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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