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1003033077
SHANISHA DENISE AUGUSTINE
FRESNO, CA
NPI
1003033077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
-- SHANISHA DENISE AUGUSTINE BA
2499 W SHAW AVE
FRESNO, CA 93711-3329
Phone number: 559-249-0395
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Mailing Address
-- SHANISHA DENISE AUGUSTINE BA
2499 W SHAW AVE
FRESNO, CA 93711-3329
Phone number: 559-249-0395
Copy
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