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1811622301
KHRISTINA MARJAN SHAD
SIMI VALLEY, CA
NPI
1811622301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-07-19
Last Update Date
2022-10-14
Business Address
KHRISTINA MARJAN SHAD PA-C
2525 ERRINGER RD
SIMI VALLEY, CA 93065-2352
Phone number: 805-527-1404
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Mailing Address
KHRISTINA MARJAN SHAD PA-C
5720 RALSTON ST STE 200
VENTURA, CA 93003-7844
Phone number: 805-804-4168
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