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1760019426
SHABNAM SHAHRESTANI
MODESTO, CA
NPI
1760019426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: VT 20A20563)
Enumeration Date
2020-03-24
Last Update Date
2024-10-30
Business Address
Miss SHABNAM SHAHRESTANI DO
1401 SPANOS CT
MODESTO, CA 95355-2810
Phone number: 209-550-4788
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Mailing Address
Miss SHABNAM SHAHRESTANI DO
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number:
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