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Individual
DR. SHAWN PATRICK TIERNEY
Active
Individual
DR. SHAWN PATRICK TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC24011
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC24011
STATE LICENSE NUMBER
CA
Enumeration date
02/14/2007
Last updated
11/17/2007
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