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1093859043
SHAWNTANA ORLANDO NELSON
SAN DIEGO, CA
NPI
1093859043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
Mr. SHAWNTANA ORLANDO NELSON
7676 JACKSON DR SUITE# 7
SAN DIEGO, CA 92119-1500
Phone number: 619-339-4148
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Mailing Address
Mr. SHAWNTANA ORLANDO NELSON
7676 JACKSON DR SUITE# 7
SAN DIEGO, CA 92119-1500
Phone number: 619-339-4148
Copy
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