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Shanceline Tebo

NPI 1962259218 · on the registry since 2024

Practice

Address
60 Mdg/Mdts
101 Bodin Circle
Travis Afb, CA 94535
Phone
(707) 423-7657
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California