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1770346934
SHANIA DIANNE BENNETT
SACRAMENTO, CA
NPI
1770346934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-01-31
Last Update Date
2024-01-31
Business Address
SHANIA DIANNE BENNETT
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 916-816-2010
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Mailing Address
SHANIA DIANNE BENNETT
5811 11TH AVE
SACRAMENTO, CA 95820-2430
Phone number: 209-559-3775
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