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1083235006
MAMTA D SHAH
LOMA LINDA, CA
NPI
1083235006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: CA 20A21088)
Enumeration Date
2020-04-30
Last Update Date
2023-06-30
Business Address
MAMTA D SHAH DO
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 905-558-4250
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Mailing Address
MAMTA D SHAH DO
27431 SAN BERNARDINO AVE APT 263
REDLANDS, CA 92374-5087
Phone number: 562-584-3661
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