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1194307421
SHANNA RUCKER
LOS ANGELES, CA
NPI
1194307421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95017042)
Enumeration Date
2021-04-26
Last Update Date
2021-04-26
Business Address
SHANNA RUCKER NP
2707 S CENTRAL AVE
LOS ANGELES, CA 90011-5527
Phone number: 702-612-6316
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Mailing Address
SHANNA RUCKER NP
8416 DELCO AVE
WINNETKA, CA 91306-1317
Phone number: 702-612-6316
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