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1790283737
SHAWN RENNER
SAN DIEGO, CA
NPI
1790283737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA 294323)
Enumeration Date
2018-01-24
Last Update Date
2019-10-08
Business Address
Dr. SHAWN RENNER PT
1945 GARNET AVE
SAN DIEGO, CA 92109-3595
Phone number: 858-224-7977
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Mailing Address
Dr. SHAWN RENNER PT
6699 ALVARADO RD STE 2100
SAN DIEGO, CA 92120-5238
Phone number: 619-229-3929
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