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1861126088
SHANNA LA RHONDA CLARK
ESCONDIDO, CA
NPI
1861126088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2022-07-13
Last Update Date
2022-07-13
Business Address
Ms. SHANNA LA RHONDA CLARK
1001 S HALE AVE SPC 54
ESCONDIDO, CA 92029-2177
Phone number: 858-729-8295
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Mailing Address
Ms. SHANNA LA RHONDA CLARK
14298 CHANTRY DR
MORENO VALLEY, CA 92553-4946
Phone number: 818-224-9309
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