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1578980413
STACEY LEE SHAKEL
SAN DIEGO, CA
NPI
1578980413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 278803)
Enumeration Date
2014-03-27
Last Update Date
2014-03-27
Business Address
Ms. STACEY LEE SHAKEL
1465 30TH ST SUITE K
SAN DIEGO, CA 92154-3497
Phone number: 619-428-1000
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Mailing Address
Ms. STACEY LEE SHAKEL
3525 YBARRA RD
SPRING VALLEY, CA 91978-1117
Phone number: 619-564-9652
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