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1497522072
SHAUN MARVIN LUTHER
STOCKTON, CA
NPI
1497522072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA 814023)
Enumeration Date
2023-12-05
Last Update Date
2023-12-05
Business Address
Mr. SHAUN MARVIN LUTHER
776 W LONGVIEW AVE
STOCKTON, CA 95207-4713
Phone number: 951-215-8465
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Mailing Address
Mr. SHAUN MARVIN LUTHER
776 W LONGVIEW AVE
STOCKTON, CA 95207-4713
Phone number: 951-215-8465
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