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1205480639
SHANNON MARIE HALLER-BAKER
RED BLUFF, CA
NPI
1205480639
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Former Name
SHANNON MARIE HALLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA57519)
Enumeration Date
2019-07-24
Last Update Date
2025-01-02
Business Address
SHANNON MARIE HALLER-BAKER PA
2526 SISTER MARY COLUMBA DR
RED BLUFF, CA 96080-4327
Phone number: 530-332-7300
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Mailing Address
SHANNON MARIE HALLER-BAKER PA
1531 ESPLANADE
CHICO, CA 95926-3310
Phone number: 530-332-7300
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