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1225677198
SHANNON HA DUYEN SICAT
ORANGE, CA
NPI
1225677198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CA 95012984)
Enumeration Date
2019-12-24
Last Update Date
2019-12-24
Business Address
SHANNON HA DUYEN SICAT NP
2617 E CHAPMAN AVE STE 109
ORANGE, CA 92869-3245
Phone number: 714-847-6900
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Mailing Address
SHANNON HA DUYEN SICAT NP
10960 BARCELONA CT # 5
GARDEN GROVE, CA 92840-5162
Phone number: 714-423-2371
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