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1477115897
JACQUELYN SHADER
LONG BEACH, CA
NPI
1477115897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-07-05
Last Update Date
2019-07-05
Business Address
JACQUELYN SHADER
1301 PINE AVE
LONG BEACH, CA 90813-3124
Phone number: 562-595-1195
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Mailing Address
JACQUELYN SHADER
21065 VIA TOLEDO
YORBA LINDA, CA 92887-2455
Phone number: 714-313-3610
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