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1245732858
ATHERINE DANICE SHACKELFORD
SANTA MONICA, CA
NPI
1245732858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WM0705X Registered Nurse Medical-Surgical
(Licence: CA 95152474)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
ATHERINE DANICE SHACKELFORD LVN,RN
909 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
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Mailing Address
ATHERINE DANICE SHACKELFORD LVN,RN
909 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
Copy
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