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1235554510
SHANNON BAGNASCO
MENIFEE, CA
NPI
1235554510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95000377)
Enumeration Date
2014-02-24
Last Update Date
2014-02-24
Business Address
-- SHANNON BAGNASCO
26926 CHERRY HILLS BLVD SUITE B
MENIFEE, CA 92586-2500
Phone number: 951-216-2200
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Mailing Address
-- SHANNON BAGNASCO
425 N DATE ST
ESCONDIDO, CA 92025-3413
Phone number: 760-737-6960
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