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1407856206
DEBORA SHALEEN POTALIVO
SAN JACINTO, CA
NPI
1407856206
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Former Name
DEBORA RACHELL SHALEEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA DC24602)
Enumeration Date
2005-07-22
Last Update Date
2007-07-08
Business Address
Dr. DEBORA SHALEEN POTALIVO DC
607 DONNA WAY
SAN JACINTO, CA 92583-5517
Phone number: 951-654-0803
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Mailing Address
Dr. DEBORA SHALEEN POTALIVO DC
607 DONNA WAY
SAN JACINTO, CA 92583-5517
Phone number: 951-654-0803
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