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1063459683
SHANNON MICHELLE GILLESPIE
MODESTO, CA
NPI
1063459683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17889)
Enumeration Date
2006-06-01
Last Update Date
2007-11-27
Business Address
-- SHANNON MICHELLE GILLESPIE P.A-C
1441 FLORIDA AVENUE
MODESTO, CA 95350
Phone number: 209-576-3609
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Mailing Address
-- SHANNON MICHELLE GILLESPIE P.A-C
2100 POWELL STREET STE 920
EMERYVILLE, CA 94608-1803
Phone number: 510-350-2600
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