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1467762179
CHONDRA ELISE SHANKS
SAN BERNARDINO, CA
NPI
1467762179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 21231)
Enumeration Date
2010-10-15
Last Update Date
2013-05-08
Business Address
Ms. CHONDRA ELISE SHANKS PA-C
665 N D ST
SAN BERNARDINO, CA 92401-1109
Phone number: 909-708-8158
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Mailing Address
Ms. CHONDRA ELISE SHANKS PA-C
665 N D ST
SAN BERNARDINO, CA 92401-1109
Phone number: 909-708-8158
Copy
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