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1508604141
MICHAEL SHELTON
FAIRFIELD, CA
NPI
1508604141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
MICHAEL SHELTON
1695 SUNSET AVE
FAIRFIELD, CA 94533-4255
Phone number: 707-595-0619
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Mailing Address
MICHAEL SHELTON
908 TUOLUMNE ST
VALLEJO, CA 94590-4641
Phone number: 707-595-0619
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