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1144938069
JESSE ALVIN SHAW
SANTA CRUZ, CA
NPI
1144938069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-11-09
Last Update Date
2023-06-15
Business Address
JESSE ALVIN SHAW
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
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Mailing Address
JESSE ALVIN SHAW
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
Copy
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