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1013240787
CASEY SHOCKLEY
LONG BEACH, CA
NPI
1013240787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2009-09-14
Last Update Date
2009-09-14
Business Address
Miss CASEY SHOCKLEY
1975 LONG BEACH BLVD.
LONG BEACH, CA 90806
Phone number: 562-218-4013
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Mailing Address
Miss CASEY SHOCKLEY
1975 LONG BEACH BLVD.
LONG BEACH, CA 90806
Phone number:
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