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1427505296
TIMOTHY SHANE FOSTER
POMONA, CA
NPI
1427505296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-09-08
Last Update Date
2016-09-08
Business Address
Mr. TIMOTHY SHANE FOSTER PA
309 E 2ND ST
POMONA, CA 91766-1854
Phone number: 909-623-6116
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Mailing Address
Mr. TIMOTHY SHANE FOSTER PA
8657 MISSION SAN CARLOS DR UNIT 68
SANTEE, CA 92071-6343
Phone number: 661-972-0317
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