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1568569598
O. HOWARD SHATTUCK
LOMA LINDA, CA
NPI
1568569598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA10544)
Enumeration Date
2006-09-20
Last Update Date
2007-09-24
Business Address
-- O. HOWARD SHATTUCK P.A.
11370 ANDERSON ST STE 2100
LOMA LINDA, CA 92354-3450
Phone number: 909-558-2822
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Mailing Address
-- O. HOWARD SHATTUCK P.A.
54701 FILE NUMBER
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111
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