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1013065903
MARALEE SHADLE
FONTANA, CA
NPI
1013065903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA13768)
Enumeration Date
2007-01-08
Last Update Date
2021-11-29
Business Address
MARALEE SHADLE PA
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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Mailing Address
MARALEE SHADLE PA
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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