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1487784559
JOHN COY SHAFFER
MODESTO, CA
NPI
1487784559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 332522)
Enumeration Date
2007-03-06
Last Update Date
2016-11-22
Business Address
-- JOHN COY SHAFFER RN,BC
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-525-5393
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Mailing Address
-- JOHN COY SHAFFER RN,BC
1749 JOEL WAY
CERES, CA 95307-4305
Phone number: 209-525-5393
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