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1326460940
JESSICA SHANK
PETALUMA, CA
NPI
1326460940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-01-16
Last Update Date
2014-01-29
Business Address
JESSICA SHANK
1500 PETALUMA BLVD S
PETALUMA, CA 94952-5545
Phone number: 707-765-8488
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Mailing Address
JESSICA SHANK
1500 PETALUMA BLVD S
PETALUMA, CA 94952-5545
Phone number: 707-765-8488
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