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1013733179
SHELBY FAZZOLARE
SANTA CRUZ, CA
NPI
1013733179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-11-22
Last Update Date
2024-11-22
Business Address
SHELBY FAZZOLARE
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
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Mailing Address
SHELBY FAZZOLARE
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
Copy
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