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1134822448
RYAN SHOTA
FRESNO, CA
NPI
1134822448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA 3509)
Enumeration Date
2023-03-24
Last Update Date
2024-09-15
Business Address
RYAN SHOTA DO
4411 E KINGS CANYON RD # 319
FRESNO, CA 93702-3604
Phone number: 559-600-2382
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Mailing Address
RYAN SHOTA DO
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 559-624-2000
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