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1588282974
SHAISTA ANSARI
MORENO VALLEY, CA
NPI
1588282974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: CA 331800166)
Enumeration Date
2020-07-11
Last Update Date
2020-07-11
Business Address
SHAISTA ANSARI
13816 NATHAN PL
MORENO VALLEY, CA 92555-5609
Phone number: 951-242-8875
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Mailing Address
SHAISTA ANSARI
5084 SAGEWOOD DR
RANCHO CUCAMONGA, CA 91739-5138
Phone number: 909-921-9299
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