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1093017360
SHANON M ARCHER
MORENO VALLEY, CA
NPI
1093017360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN183437)
Enumeration Date
2010-11-18
Last Update Date
2010-11-18
Business Address
-- SHANON M ARCHER LVN
25680 CALLE AGUA
MORENO VALLEY, CA 92551-2047
Phone number: 951-333-1852
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Mailing Address
-- SHANON M ARCHER LVN
25680 CALLE AGUA
MORENO VALLEY, CA 92551-2047
Phone number: 951-333-1852
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