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1154593986
OMAR SHEPPARD
SAN DIEGO, CA
NPI
1154593986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 30583)
Enumeration Date
2008-04-01
Last Update Date
2008-04-01
Business Address
-- OMAR SHEPPARD
600 B ST
SAN DIEGO, CA 92101-4520
Phone number: 619-615-0439
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Mailing Address
-- OMAR SHEPPARD
600 B ST
SAN DIEGO, CA 92101-4520
Phone number: 619-615-0439
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