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1134473564
SHEENA LATRAC ALLEN
MODESTO, CA
NPI
1134473564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 22692)
Enumeration Date
2012-11-07
Last Update Date
2018-05-15
Business Address
SHEENA LATRAC ALLEN PA
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-576-3525
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Mailing Address
SHEENA LATRAC ALLEN PA
PO BOX 1430
SUISUN CITY, CA 94585-4430
Phone number: 209-579-5628
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