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1790818557
SHELLEY M LUNG
MODESTO, CA
NPI
1790818557
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Former Name
SHELLEY MARIE MULLENNIX
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA14745)
Enumeration Date
2007-03-13
Last Update Date
2008-08-26
Business Address
-- SHELLEY M LUNG PA
1700 COFFEE RD
MODESTO, CA 95355-2803
Phone number: 209-526-4500
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Mailing Address
-- SHELLEY M LUNG PA
PO BOX 12020
WESTMINSTER, CA 92685-2020
Phone number: 888-556-5621
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