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1962858142
SHANE SHEAHAN
ORANGE, CA
NPI
1962858142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A153317)
Enumeration Date
2016-05-06
Last Update Date
2019-08-07
Business Address
SHANE SHEAHAN
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 419-205-3144
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Mailing Address
SHANE SHEAHAN
4039 BERWICK AVE
TOLEDO, OH 43612
Phone number:
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