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1558133603
SHANNA MA
UPLAND, CA
NPI
1558133603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95025857)
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
SHANNA MA
980 E FOOTHILL BLVD STE 101
UPLAND, CA 91786-4068
Phone number: 909-981-6211
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Mailing Address
SHANNA MA
12427 FEATHER DR
EASTVALE, CA 91752-1484
Phone number: 909-272-9283
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