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1740714039
SHANNON UNRUH
MERCED, CA
NPI
1740714039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
(Licence: CA 95052240)
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
-- SHANNON UNRUH R.N.
936 W MAIN ST
MERCED, CA 95340-4519
Phone number: 209-285-9002
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Mailing Address
-- SHANNON UNRUH R.N.
4914 LINCOLN BLVD
LIVINGSTON, CA 95334-9640
Phone number: 209-620-2005
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