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1033459466
SHANON MOGADAM
FRESNO, CA
NPI
1033459466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 254793)
Enumeration Date
2013-02-21
Last Update Date
2013-02-21
Business Address
SHANON MOGADAM LVN
5750 N FRESNO ST 138
FRESNO, CA 93710-6047
Phone number: 925-451-0723
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Mailing Address
SHANON MOGADAM LVN
5750 N FRESNO ST 138
FRESNO, CA 93710-6047
Phone number: 925-451-0723
Copy
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