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1174067532
SHAWNEE HERBERT
RESCUE, CA
NPI
1174067532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: CA 16883)
Enumeration Date
2016-12-05
Last Update Date
2016-12-05
Business Address
-- SHAWNEE HERBERT OTR/L
3498 GREEN VALLEY RD
RESCUE, CA 95672-9625
Phone number: 530-391-8670
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Mailing Address
-- SHAWNEE HERBERT OTR/L
PO BOX 717
PIONEER, CA 95666-0717
Phone number:
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