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1023185410
ERIK RAY SHAFFER
TEMPE, AZ
NPI
1023185410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ 10156)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
Mr. ERIK RAY SHAFFER BS LISAC
1232 E BROADWAY RD 120
TEMPE, AZ 85282-1511
Phone number: 480-784-1514
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Mailing Address
Mr. ERIK RAY SHAFFER BS LISAC
274 E LAREDO AVE
GILBERT, AZ 85296-1650
Phone number: 480-733-6992
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