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1104659168
LISA MARIE SHAW
BERKELEY, CA
NPI
1104659168
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-08-23
Last Update Date
2024-08-23
Business Address
LISA MARIE SHAW
2130 CENTER ST STE 200
BERKELEY, CA 94704-1386
Phone number: 510-548-8283
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Mailing Address
LISA MARIE SHAW
2130 CENTER ST STE 200
BERKELEY, CA 94704-1386
Phone number: 510-548-8283
Copy
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