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1508999087
WAYDE ISAHN SHOEMAKE
SAN DIMAS, CA
NPI
1508999087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-13
Last Update Date
2023-06-27
Business Address
Mr. WAYDE ISAHN SHOEMAKE B.A.
762 W CYPRESS AVE
SAN DIMAS, CA 91773-3505
Phone number: 909-599-1227
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Mailing Address
Mr. WAYDE ISAHN SHOEMAKE B.A.
4590 ALLSTATE DR
RIVERSIDE, CA 92501-1702
Phone number: 909-599-1227
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