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1376397752
SHANNEN NICOLE EDWARDS
RANCHO CUCAMONGA, CA
NPI
1376397752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-04-12
Last Update Date
2024-04-15
Business Address
SHANNEN NICOLE EDWARDS
8350 ARCHIBALD AVE STE 110
RANCHO CUCAMONGA, CA 91730-3670
Phone number: 909-527-3463
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Mailing Address
SHANNEN NICOLE EDWARDS
8350 ARCHIBALD AVE STE 110
RANCHO CUCAMONGA, CA 91730-3670
Phone number: 909-527-3463
Copy
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