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1750958633
SHABANA HAXTON
CORONA, CA
NPI
1750958633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: CA NP95018274)
Enumeration Date
2021-06-08
Last Update Date
2024-08-12
Business Address
SHABANA HAXTON RN, NP
1101 CALIFORNIA AVE STE 100
CORONA, CA 92881-6472
Phone number: 951-496-5238
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Mailing Address
SHABANA HAXTON RN, NP
1240 E ONTARIO AVE # 102-103
CORONA, CA 92881-8671
Phone number: 951-496-5238
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