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Individual

MRS. ALLISON SHEA CONDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8407 REMAGEN DR., #A, FORT IRWIN, CA 92310
(760) 386-1086
Mailing address
8407A REMAGEN DR., FORT IRWIN, CA 92310
(760) 386-1086

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
591215
CA

Other

Enumeration date
04/13/2006
Last updated
07/08/2007
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