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1386683480
SHELLEY J PARK
REDLANDS, CA
NPI
1386683480
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Former Name
SHELLEY J ANDERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 14554)
Enumeration Date
2006-06-05
Last Update Date
2016-07-19
Business Address
-- SHELLEY J PARK N.P.
2 W FERN AVE
REDLANDS, CA 92373-5916
Phone number: 909-793-3311
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Mailing Address
-- SHELLEY J PARK N.P.
PO BOX 10069
SAN BERNARDINO, CA 92423-0069
Phone number: 909-335-4188
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