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1053922641
TARA LYNN SHAFER
SAN PEDRO, CA
NPI
1053922641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95015152)
Enumeration Date
2020-08-16
Last Update Date
2020-08-16
Business Address
TARA LYNN SHAFER FNP
1350 W 6TH ST STE 200
SAN PEDRO, CA 90732-3508
Phone number: 310-832-0686
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Mailing Address
TARA LYNN SHAFER FNP
310 N CATALINA AVE UNIT B
REDONDO BEACH, CA 90277-2830
Phone number: 410-916-8483
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