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1578947990
SHANE EDWARDS
LOS ANGELES, CA
NPI
1578947990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA dc33298)
Enumeration Date
2015-07-15
Last Update Date
2015-07-15
Business Address
-- SHANE EDWARDS
7460 HOLLYWOOD BLVD APT 2
LOS ANGELES, CA 90046-2832
Phone number: 323-203-7236
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Mailing Address
-- SHANE EDWARDS
7460 HOLLYWOOD BLVD APT 2
LOS ANGELES, CA 90046-2832
Phone number:
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