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1942798145
MICHAEL CLENSHAW
SANTA ANA, CA
NPI
1942798145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
MICHAEL CLENSHAW
11211 VISTA DEL LAGO
SANTA ANA, CA 92705-5903
Phone number: 714-552-0420
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Mailing Address
MICHAEL CLENSHAW
11211 VISTA DEL LAGO
SANTA ANA, CA 92705-5903
Phone number: 714-552-0420
Copy
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