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1508625187
SHANE DAVID MASSEY
SAN DIEGO, CA
NPI
1508625187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
SHANE DAVID MASSEY DPM
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103-2105
Phone number: 909-747-7097
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Mailing Address
SHANE DAVID MASSEY DPM
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103-2105
Phone number: 909-747-7097
Copy
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