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1336876523
AMANDA SHAW
FONTANA, CA
NPI
1336876523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
Enumeration Date
2022-08-06
Last Update Date
2022-08-27
Business Address
AMANDA SHAW
15217 SAN BERNARDINO AVE
FONTANA, CA 92335-5327
Phone number: 951-643-2150
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Mailing Address
AMANDA SHAW
15217 SAN BERNARDINO AVE
FONTANA, CA 92335-5327
Phone number:
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