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1295117182
SHELLY TAKETA
MORAGA, CA
NPI
1295117182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-06-26
Last Update Date
2015-06-26
Business Address
-- SHELLY TAKETA M.s., ATC
1928 SAINT MARYS RD
MORAGA, CA 94575-2715
Phone number: 925-876-7347
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Mailing Address
-- SHELLY TAKETA M.s., ATC
1928 SAINT MARYS RD
MORAGA, CA 94575-2715
Phone number: 925-876-7347
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