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1558648550
SHANE MANALANG
LYNWOOD, CA
NPI
1558648550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 21395)
Enumeration Date
2011-11-04
Last Update Date
2020-02-03
Business Address
SHANE MANALANG Physician Assistant
3625 MARTIN LUTHER KING JR BLVD STE 5
LYNWOOD, CA 90262-3509
Phone number: 562-508-8787
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Mailing Address
SHANE MANALANG Physician Assistant
1703 TERMINO AVE STE 106
LONG BEACH, CA 90804-2126
Phone number: 310-552-0146
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