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1912161779
SHANISE C VANN
SAN DIEGO, CA
NPI
1912161779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-07-10
Last Update Date
2011-03-15
Business Address
-- SHANISE C VANN
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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Mailing Address
-- SHANISE C VANN
291 JAMACHA RD # 54
EL CAJON, CA 92019-2380
Phone number: 816-679-7974
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