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1386284743
SHANISE THOMASSON
STOCKTON, CA
NPI
1386284743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
SHANISE THOMASSON
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0102
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Mailing Address
SHANISE THOMASSON
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number:
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