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1427186253
KEVIN EDWARD SHIELDS
COLUSA, CA
NPI
1427186253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-01
Last Update Date
2024-01-09
Business Address
MR. KEVIN EDWARD SHIELDS
162 E CARSON ST STE A
COLUSA, CA 95932-2866
Phone number: 530-458-0524
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Mailing Address
MR. KEVIN EDWARD SHIELDS
162 E CARSON ST. SUITE A
COLUSA, CA 95932
Phone number: 530-458-0524
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