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1396790358
SHANNON RAE SGRO
ROSEVILLE, CA
NPI
1396790358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA15649)
Enumeration Date
2006-05-24
Last Update Date
2016-08-01
Business Address
-- SHANNON RAE SGRO P.A.-C
1412 BLUE OAKS BLVD
ROSEVILLE, CA 95747-7143
Phone number: 916-784-7546
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Mailing Address
-- SHANNON RAE SGRO P.A.-C
1412 BLUE OAKS BLVD
ROSEVILLE, CA 95747-7143
Phone number: 916-784-7546
Copy
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