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1962724575
SHANNON RICHARD REED
SACRAMENTO, CA
NPI
1962724575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA CPed3329)
Enumeration Date
2010-02-23
Last Update Date
2010-05-21
Business Address
Mr. SHANNON RICHARD REED Pedorthist
719 56TH ST
SACRAMENTO, CA 95819-3306
Phone number: 916-457-2726
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Mailing Address
Mr. SHANNON RICHARD REED Pedorthist
719 56TH ST
SACRAMENTO, CA 95819-3306
Phone number: 916-457-2726
Copy
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