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1922387232
KKASSANOVA SHIELDS
CONCORD, CA
NPI
1922387232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-08-04
Last Update Date
2011-08-04
Business Address
-- KKASSANOVA SHIELDS
3024 WILLOW PASS RD
CONCORD, CA 94519-2588
Phone number: 925-692-0090
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Mailing Address
-- KKASSANOVA SHIELDS
3024 WILLOW PASS RD
CONCORD, CA 94519-2588
Phone number: 925-692-0090
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