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1790429769
SHANELLE GONZALEZ
SAN PEDRO, CA
NPI
1790429769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
SHANELLE GONZALEZ
2033 S CRESCENT AVE
SAN PEDRO, CA 90731-5512
Phone number: 310-519-8723
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Mailing Address
SHANELLE GONZALEZ
2033 S CRESCENT AVE
SAN PEDRO, CA 90731-5512
Phone number: 310-519-8723
Copy
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