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1467173575
SHANNON K HERVEY-LENTZ
BERKELEY, CA
NPI
1467173575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
SHANNON K HERVEY-LENTZ
2712 TELEGRAPH AVE
BERKELEY, CA 94705-1117
Phone number: 510-548-8283
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Mailing Address
SHANNON K HERVEY-LENTZ
410 PUERTO PL
HAYWARD, CA 94541-7300
Phone number:
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