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1689365629
KIARA SHANTAL SHAW
FONTANA, CA
NPI
1689365629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 712683)
Enumeration Date
2023-05-19
Last Update Date
2023-05-19
Business Address
KIARA SHANTAL SHAW LVN
4994 SUDBURY WAY
FONTANA, CA 92336-0684
Phone number: 951-570-3577
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Mailing Address
KIARA SHANTAL SHAW LVN
4994 SUDBURY WAY
FONTANA, CA 92336-0684
Phone number:
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