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1083300016
SHAUNTON STUBBS
MODESTO, CA
NPI
1083300016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-13
Last Update Date
2023-04-13
Business Address
SHAUNTON STUBBS DO
1400 FLORIDA AVE
MODESTO, CA 95350-4422
Phone number: 209-573-6183
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Mailing Address
SHAUNTON STUBBS DO
4229 SHAMROCK ST
BOISE, ID 83713-2537
Phone number: 208-230-3798
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