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1336329564
SHANNON LARA SMITH
BERKELEY, CA
NPI
1336329564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2007-11-05
Last Update Date
2008-07-31
Business Address
-- SHANNON LARA SMITH
3200 ADELINE STREET
BERKELEY, CA 94703-3501
Phone number: 415-859-6264
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Mailing Address
-- SHANNON LARA SMITH
3200 ADELINE ST
BERKELEY, CA 94703-2407
Phone number:
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