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Individual

AUSTIN SHEPPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
24355 LYONS AVE STE 211, SANTA CLARITA, CA 91321-2382
(661) 255-6644
Mailing address
24355 CREEKSIDE RD, SANTA CLARITA, CA 91355-1725

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
218516
AZ
163WM0705X
Medical-Surgical Registered Nurse
Primary
95247691
CA

Other

Enumeration date
08/17/2020
Last updated
10/18/2023
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