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1578711032
ANITA MARY SHADE
APO, AP
NPI
1578711032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 56376)
Enumeration Date
2008-09-08
Last Update Date
2019-08-08
Business Address
Dr. ANITA MARY SHADE DDS
18TH MEDICAL GROUP UNIT 5142
APO, AP 96368
Phone number: 000-630-4902
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Mailing Address
Dr. ANITA MARY SHADE DDS
18TH MEDICAL GROUP, UNIT 5142
APO, AP 96368
Phone number:
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