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1861181711
SHAUN STARK
ONTARIO, CA
NPI
1861181711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-05-05
Last Update Date
2023-05-19
Business Address
SHAUN STARK
2890 INLAND EMPIRE BLVD
ONTARIO, CA 91764-4649
Phone number: 909-233-7265
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Mailing Address
SHAUN STARK
2890 INLAND EMPIRE BLVD
ONTARIO, CA 91764-4649
Phone number:
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