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1306031448
JEANETTE WONG SHIBATA
COLTON, CA
NPI
1306031448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2007-09-12
Last Update Date
2010-06-07
Business Address
Mrs. JEANETTE WONG SHIBATA MSPA
400 N. PEPPER AVE
COLTON, CA 92324
Phone number: 909-580-1000
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Mailing Address
Mrs. JEANETTE WONG SHIBATA MSPA
8548 QUIET WOODS ST
CHINO, CA 91708-9203
Phone number: 626-318-1186
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