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1255887212
KOREN MCGUIRE
SANTA ROSA, CA
NPI
1255887212
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Former Name
KORY SHAW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 580478)
Enumeration Date
2016-08-30
Last Update Date
2016-08-30
Business Address
-- KOREN MCGUIRE RN
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-393-4677
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Mailing Address
-- KOREN MCGUIRE RN
508 ALMANOR ST
PETALUMA, CA 94954-8571
Phone number: 707-766-6365
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