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1861247868
SHAWNA GATES
RIVERSIDE, CA
NPI
1861247868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 53189)
Enumeration Date
2024-04-22
Last Update Date
2024-04-22
Business Address
SHAWNA GATES
4334 LATHAM ST STE 110
RIVERSIDE, CA 92501-1748
Phone number: 909-519-8912
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Mailing Address
SHAWNA GATES
13654 AGATE CIR
VICTORVILLE, CA 92392-9028
Phone number:
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