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1083362560
AMANDA SHAW
HUNTINGTON BEACH, CA
NPI
1083362560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95019414)
Enumeration Date
2022-03-14
Last Update Date
2022-03-14
Business Address
AMANDA SHAW PMHNP
18602 DEMION LN APT C
HUNTINGTON BEACH, CA 92646-8812
Phone number: 661-319-7834
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Mailing Address
AMANDA SHAW PMHNP
18602 DEMION LN APT C
HUNTINGTON BEACH, CA 92646-8812
Phone number: 661-319-7834
Copy
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