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1255078135
SUWANNA SHAN
SAN DIEGO, CA
NPI
1255078135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 38286)
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
SUWANNA SHAN CMT
16935 W BERNARDO DR STE 153
SAN DIEGO, CA 92127-1637
Phone number: 858-480-9951
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Mailing Address
SUWANNA SHAN CMT
17093 W BERNARDO DR UNIT 208
SAN DIEGO, CA 92127-1413
Phone number:
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