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1134830805
ZACHARY AUSTIN SHAFER
SAN DIEGO, CA
NPI
1134830805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-12-13
Last Update Date
2022-12-13
Business Address
ZACHARY AUSTIN SHAFER IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
ZACHARY AUSTIN SHAFER IDC
519 AMMUNITION RD APT 5
FALLBROOK, CA 92028-3112
Phone number: 231-649-4341
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