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1770220709
SHANNON MACE
CULVER CITY, CA
NPI
1770220709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2022-05-20
Last Update Date
2023-07-20
Business Address
SHANNON MACE
10559 JEFFERSON BLVD
CULVER CITY, CA 90232-3526
Phone number: 310-785-2121
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Mailing Address
SHANNON MACE
10549 JEFFERSON BLVD
CULVER CITY, CA 90232-3513
Phone number: 310-785-2121
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